DBA ALPINE DERMATOPATHOLOGY
NPI 1689943300
Clinical Medical Laboratory in Springville, UT

NPI Status: Active since December 27, 2011

Contact Information

732 N MAIN ST
SPRINGVILLE, UT
ZIP 84663
Phone: (801) 210-8989
Fax: (801) 723-0126

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 46D2082640
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-15-2027

About DBA ALPINE DERMATOPATHOLOGY

This page provides the complete NPI Profile along with additional information for Dba Alpine Dermatopathology, a provider established in Springville, Utah operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1689943300 assigned on December 2011. The practitioner's primary taxonomy code is 291U00000X with license number 1770634909 (UT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Dba Alpine Dermatopathology. The authorized official of this NPI record is Warren Peterson Do (Physician)

NPI
1689943300
Provider Legal Name
ASPEN DERMATOPATHOLOGY
Other Organization Name
DBA ALPINE DERMATOPATHOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
732 N MAIN ST SPRINGVILLE, UT 84663
Location Phone
(801) 210-8989
Location Fax
(801) 723-0126
Mailing Address
114 E 800 N SPANISH FORK, UT 84660
Mailing Phone
(801) 794-1490
Mailing Fax
(801) 723-0126
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2011
Last Update Date
08-14-2012
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Establishments like Dba Alpine Dermatopathology are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
1770634909
License State
UT
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WARREN PETERSON DO

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(801) 210-8989

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2082640
Facility Type
Physician Office
Certificate Effective Date
June 16, 2025
Certificate Expiration Date
June 15, 2027
Laboratory Director
CHAD R. PETERSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Dba Alpine Dermatopathology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689943300, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 8 + 4 + 6 + 3 + 0 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1689943300.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dermatology (Dermatopathology)
732 N MAIN ST
SPRINGVILLE, UT 84663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689943300, enumerated as an "organization" on December 27, 2011.

The provider is located at 732 N MAIN ST SPRINGVILLE, UT 84663 and the phone number is (801) 210-8989.

Clinical Medical Laboratory with taxonomy code 291U00000X.