360 MEDICAL TESTING SOLUTIONS LLC
NPI 1831961036
Emergency Medicine - Emergency Medical Services in Florissant, MO
NPI Status: Active since October 23, 2023
Contact Information
2354 SUCASA DR APT A
FLORISSANT, MO
ZIP 63031
Phone: (314) 722-6060
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 26D2294846
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 11-29-2025
About 360 MEDICAL TESTING SOLUTIONS LLC
This page provides the complete NPI Profile along with additional information for 360 Medical Testing Solutions Llc, a provider established in Florissant, Missouri operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1831961036 assigned on October 2023. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 2 years ago. 360 Medical Testing Solutions Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Andra Vaughn (Ceo)
- NPI
- 1831961036
- Provider Name
- 360 MEDICAL TESTING SOLUTIONS LLC
- Entity Type
- Organization
- Location Address
- 2354 SUCASA DR APT A FLORISSANT, MO 63031
- Location Phone
- (314) 722-6060
- Mailing Address
- 2354 SUCASA DR APT A FLORISSANT, MO 63031
- Mailing Phone
- (314) 722-6060
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2023
- Last Update Date
- 10-23-2023
- 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
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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.
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
- 26D2294846
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- November 30, 2023
- Certificate Expiration Date
- November 29, 2025
- Laboratory Director
- ANDRA S. VAUGHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 360 Medical Testing Solutions 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 | 8 | 3 | 1 | 9 | 6 | 1 | 0 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 18 | 6 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 1 + 8 + 6 + 2 + 0 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1831961036 is valid because the calculated check digit 6 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 1831961036, enumerated as an "organization" on October 23, 2023.
The provider is located at 2354 SUCASA DR APT A FLORISSANT, MO 63031 and the phone number is (314) 722-6060.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
