OPTIMUS LABS LLC
NPI 1740949387
Technician, Pathology - Medical Laboratory in Ormond Beach, FL

NPI Status: Active since December 10, 2021

Contact Information

570 MEMORIAL CIR STE 110
ORMOND BEACH, FL
ZIP 32174
Phone: (360) 434-0960
Fax: (386) 287-5776

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  • Organization
  • Technician, Pathology
  • Medical Laboratory
  • CLIA Number: 10D0908796
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-16-2026

About OPTIMUS LABS LLC

This page provides the complete NPI Profile along with additional information for Optimus Labs Llc, a provider established in Ormond Beach, Florida operating as a Technician, Pathology, focusing in medical laboratory . The healthcare provider is registered in the NPI registry with number 1740949387 assigned on December 2021. The practitioner's primary taxonomy code is 246RM2200X. The provider is registered as an organization and their NPI record was last updated 4 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 Shannon Riley (Owner)

NPI
1740949387
Provider Name
OPTIMUS LABS LLC
Entity Type
Organization
Location Address
570 MEMORIAL CIR STE 110 ORMOND BEACH, FL 32174
Location Phone
(360) 434-0960
Location Fax
(386) 287-5776
Mailing Address
570 MEMORIAL CIR STE 110 ORMOND BEACH, FL 32174
Mailing Phone
(360) 434-0960
Mailing Fax
(386) 287-5776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2021
Last Update Date
12-13-2021
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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

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.

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

SHANNON RILEY

Authorized Official Title
OWNER
Authorized Official Phone
(360) 434-0960

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
10D0908796
Facility Type
Physician Office
Certificate Effective Date
December 17, 2024
Certificate Expiration Date
December 16, 2026
Laboratory Director
DR. ALAN L. TANNENBAUM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Optimus Labs 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 1740949387, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 8 + 4 + 1 + 8 + 3 + 1 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1740949387.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist/Technologist, Pathology (Laboratory Management)
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL 32174
Internal Medicine (Gastroenterology)
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL 32174
Internal Medicine (Gastroenterology)
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL 32174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740949387, enumerated as an "organization" on December 10, 2021.

The provider is located at 570 MEMORIAL CIR STE 110 ORMOND BEACH, FL 32174 and the phone number is (360) 434-0960.

Technician, Pathology with taxonomy code 246RM2200X and a focus in Medical Laboratory.