MY CHEM LAB LLC
NPI 1780457002
Technician, Pathology - Phlebotomy in Wildwood, FL
NPI Status: Active since October 31, 2023
Contact Information
602 JACKSON ST
WILDWOOD, FL
ZIP 34785
Phone: (352) 571-3148
- Organization
- Technician, Pathology
- Phlebotomy
- CLIA Number: 10D2261234
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 05-26-2026
About MY CHEM LAB LLC
This page provides the complete NPI Profile along with additional information for My Chem Lab Llc, a provider established in Wildwood, Florida operating as a Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1780457002 assigned on October 2023. The practitioner's primary taxonomy code is 246RP1900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tasha D Lasane (Owner)
- NPI
- 1780457002
- Provider Name
- MY CHEM LAB LLC
- Entity Type
- Organization
- Location Address
- 602 JACKSON ST WILDWOOD, FL 34785
- Location Phone
- (352) 571-3148
- Mailing Address
- PO BOX 572 WILDWOOD, FL 34785
- Mailing Phone
- (352) 571-3148
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2023
- Last Update Date
- 10-31-2023
- 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 Phlebotomy
- Taxonomy Code
- 246RP1900X
- 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
- 10D2261234
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- May 27, 2024
- Certificate Expiration Date
- May 26, 2026
- Laboratory Director
- TAMICHA ANDERSON GOODEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to My Chem Lab 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 4 | 5 | 7 | 0 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 8 | 5 | 14 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 8 + 5 + 1 + 4 + 0 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1780457002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780457002, enumerated as an "organization" on October 31, 2023.
The provider is located at 602 JACKSON ST WILDWOOD, FL 34785 and the phone number is (352) 571-3148.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
