VALLEY MEDICAL LABORATORY, LLC
NPI 1720616741
Technician, Pathology - Medical Laboratory in Burnsville, MN
NPI Status: Active since March 27, 2020
Contact Information
2438 E 117TH ST
BURNSVILLE, MN
ZIP 55337
Phone: (612) 444-3000
Fax: (612) 444-9000
- Organization
- Technician, Pathology
- Medical Laboratory
- CLIA Number: 24D2072541
- CLIA Cert. Type: Other - CLINICALAND REFERENCE LAB
- CLIA Exp. Date: 06-15-2027
About VALLEY MEDICAL LABORATORY, LLC
This page provides the complete NPI Profile along with additional information for Valley Medical Laboratory, Llc, a provider established in Burnsville, Minnesota operating as a Technician, Pathology, focusing in medical laboratory . The healthcare provider is registered in the NPI registry with number 1720616741 assigned on March 2020. The practitioner's primary taxonomy code is 246RM2200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ashwin George Md (Vp, Ceo)
- NPI
- 1720616741
- Provider Name
- VALLEY MEDICAL LABORATORY, LLC
- Entity Type
- Organization
- Location Address
- 2438 E 117TH ST BURNSVILLE, MN 55337
- Location Phone
- (612) 444-3000
- Location Fax
- (612) 444-9000
- Mailing Address
- 2428 E 117TH ST BURNSVILLE, MN 55337
- Mailing Phone
- (612) 444-3000
- Mailing Fax
- (612) 444-9000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2020
- Last Update Date
- 04-13-2020
- 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
Technician, Pathology Medical Laboratory
- Taxonomy Code
- 246RM2200X
- Type
- Technologists, Technicians & Other Technical Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 24D2072541
- Facility Type
- Other - CLINICALAND REFERENCE LAB
- Certificate Effective Date
- June 16, 2025
- Certificate Expiration Date
- June 15, 2027
- Laboratory Director
- MICHAEL M. MBUGHUNI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Valley Medical Laboratory, Llc 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 1720616741, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BURNSVILLE, MN 55337
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720616741, enumerated as an "organization" on March 27, 2020.
The provider is located at 2438 E 117TH ST BURNSVILLE, MN 55337 and the phone number is (612) 444-3000.
Technician, Pathology with taxonomy code 246RM2200X and a focus in Medical Laboratory.
