ASCENSION MEDICAL GROUP ST. VINCENT
NPI 1720555170
Physiological Laboratory in Greenwood, IN
NPI Status: Active since October 24, 2018
Contact Information
1300 INNOVATION PARKWAY
#150
GREENWOOD, IN
ZIP 46143
Phone: (317) 583-4410
- Organization
- Physiological Laboratory
- CLIA Number: 15D2157269
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-29-2027
About ASCENSION MEDICAL GROUP ST. VINCENT
This page provides the complete NPI Profile along with additional information for Ascension Medical Group St. Vincent, a provider established in Greenwood, Indiana operating as a Physiological Laboratory. The healthcare provider is registered in the NPI registry with number 1720555170 assigned on October 2018. The practitioner's primary taxonomy code is 293D00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ascension Medical Group St. Vincent. The authorized official of this NPI record is Brian Morris (Cfo)
- NPI
- 1720555170
- Provider Legal Name
- ST. VINCENT MEDICAL GROUP, INC.
- Other Organization Name
- ASCENSION MEDICAL GROUP ST. VINCENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1300 INNOVATION PARKWAY #150 GREENWOOD, IN 46143
- Location Phone
- (317) 583-4410
- Mailing Address
- 250 W 96TH ST # 520 INDIANAPOLIS, IN 46260
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2018
- Last Update Date
- 02-12-2020
- Code Navigator
Location Map
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
Physiological Laboratory
- Taxonomy Code
- 293D00000X
- Type
- Laboratories
- Taxonomy Description
- A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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
- 15D2157269
- Facility Type
- Physician Office
- Certificate Effective Date
- May 30, 2025
- Certificate Expiration Date
- May 29, 2027
- Laboratory Director
- DATTABEN PANDYA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ascension Medical Group St. Vincent 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 1720555170, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720555170, enumerated as an "organization" on October 24, 2018.
The provider is located at 1300 INNOVATION PARKWAY #150 GREENWOOD, IN 46143 and the phone number is (317) 583-4410.
Physiological Laboratory with taxonomy code 293D00000X.
