MARK AND KAMBOUR MD PA
NPI 1760456172
Pathology - Anatomic Pathology & Clinical Pathology in Miami Lakes, FL

NPI Status: Active since February 14, 2006

Contact Information

16250 NW 59TH AVE STE 201
MIAMI LAKES, FL
ZIP 33014
Phone: (305) 825-4422

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 10D0978884
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 04-28-2028

About MARK AND KAMBOUR MD PA

This page provides the complete NPI Profile along with additional information for Mark And Kambour Md Pa, a provider established in Miami Lakes, Florida operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1760456172 assigned on February 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number ME35872 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. Mark And Kambour Md Pa 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 Michael Grattendick (Cfo)

NPI
1760456172
Provider Name
MARK AND KAMBOUR MD PA
Entity Type
Organization
Location Address
16250 NW 59TH AVE STE 201 MIAMI LAKES, FL 33014
Location Phone
(305) 825-4422
Mailing Address
11025 RCA CENTER DR STE 300 PALM BEACH GARDENS, FL 33410
Mailing Phone
(561) 514-5822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2006
Last Update Date
03-11-2020
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
ME35872
License State
FL
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZC0500XAllopathic & Osteopathic Physicians

Pathology
Cytopathology

ME35872 (FL)
2207ZP0105XAllopathic & Osteopathic Physicians

Pathology
Clinical Pathology/Laboratory Medicine

ME35872 (FL)

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

MICHAEL GRATTENDICK

Authorized Official Title
CFO
Authorized Official Phone
(561) 514-5822

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
10D0978884
Facility Type
Independent
Certificate Effective Date
April 29, 2026
Certificate Expiration Date
April 28, 2028
Laboratory Director
DR. ANDREW J. HANLY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mark And Kambour Md Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1760456172, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

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 + 8 + 5 + 1 + 2 + 1 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760456172.

Other Providers at the Same Location


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

Pathology (Dermatopathology)
16250 NW 59TH AVE STE 201
MIAMI LAKES, FL 33014
Pathology (Dermatopathology)
16250 NW 59TH AVE STE 201
MIAMI LAKES, FL 33014
Pathology (Anatomic Pathology & Clinical Pathology)
16250 NW 59TH AVE STE 201
MIAMI LAKES, FL 33014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760456172, enumerated as an "organization" on February 14, 2006.

The provider is located at 16250 NW 59TH AVE STE 201 MIAMI LAKES, FL 33014 and the phone number is (305) 825-4422.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.