EVERGREEN CIRCUITS LLC
NPI 1700447968
Durable Medical Equipment & Medical Supplies in Duvall, WA

NPI Status: Active since June 27, 2019

Contact Information

14023 284TH CIR NE
DUVALL, WA
ZIP 98019
Phone: (425) 382-8412

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 50D2254876
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About EVERGREEN CIRCUITS LLC

This page provides the complete NPI Profile along with additional information for Evergreen Circuits Llc, a provider established in Duvall, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1700447968 assigned on June 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jay Beavers (Managing Memberr)

NPI
1700447968
Provider Name
EVERGREEN CIRCUITS LLC
Entity Type
Organization
Location Address
14023 284TH CIR NE DUVALL, WA 98019
Location Phone
(425) 382-8412
Mailing Address
PO BOX 1304 DUVALL, WA 98019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2019
Last Update Date
06-27-2019
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

JAY BEAVERS

Authorized Official Title
MANAGING MEMBERR
Authorized Official Phone
(425) 382-8412

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
50D2254876
Facility Type
Physician Office
Certificate Effective Date
March 08, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
PRATIMA SHARMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evergreen Circuits Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1700447968, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 0 → 0 4 → 8 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 8 + 4 + 1 + 4 + 9 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1700447968.

Other Providers at the Same Location


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

Durable Medical Equipment & Medical Supplies
14023 284TH CIR NE
DUVALL, WA 98019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700447968, enumerated as an "organization" on June 27, 2019.

The provider is located at 14023 284TH CIR NE DUVALL, WA 98019 and the phone number is (425) 382-8412.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.