INFORM DIAGNOSTICS, INC.
NPI 1760287445
Dermatology - Clinical & Laboratory Dermatological Immunology in Brecksville, OH

NPI Status: Active since February 17, 2025

Contact Information

10393 PARKSIDE DR
BRECKSVILLE, OH
ZIP 44141
Phone: (888) 290-5307

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  • Organization
  • Dermatology
  • Clinical & Laboratory Dermatological Imm...
  • CLIA Number: 36D2308708
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 02-18-2027

About INFORM DIAGNOSTICS, INC.

This page provides the complete NPI Profile along with additional information for Inform Diagnostics, Inc., a provider established in Brecksville, Ohio operating as a Dermatology, focusing in clinical & laboratory dermatological immunology . The healthcare provider is registered in the NPI registry with number 1760287445 assigned on February 2025. The practitioner's primary taxonomy code is 207NI0002X. The provider is registered as an organization and their NPI record was last updated one year ago. Inform Diagnostics, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Raymond Christopher Wicker (Vp, General Manager)

NPI
1760287445
Provider Name
INFORM DIAGNOSTICS, INC.
Entity Type
Organization
Location Address
10393 PARKSIDE DR BRECKSVILLE, OH 44141
Location Phone
(888) 290-5307
Mailing Address
1111 S FREEPORT PKWY COPPELL, TX 75019
Mailing Phone
(888) 290-5307
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-17-2025
Last Update Date
02-17-2025
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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

Dermatology Clinical & Laboratory Dermatological Immunology

Taxonomy Code
207NI0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

RAYMOND CHRISTOPHER WICKER

Authorized Official Title
VP, GENERAL MANAGER
Authorized Official Phone
(678) 477-4402

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
36D2308708
Facility Type
Independent
Certificate Effective Date
February 19, 2025
Certificate Expiration Date
February 18, 2027
Laboratory Director
DR. JYOTI P. KAPIL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Inform Diagnostics, Inc. 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 1760287445, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 4 + 8 + 1 + 4 + 4 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1760287445.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760287445, enumerated as an "organization" on February 17, 2025.

The provider is located at 10393 PARKSIDE DR BRECKSVILLE, OH 44141 and the phone number is (888) 290-5307.

Dermatology with taxonomy code 207NI0002X and a focus in Clinical & Laboratory Dermatological Immunology.