GLENDALE OUTPATIENT SERVICES CLINIC
NPI 1841556073
Clinical Medical Laboratory in Phoenix, AZ

NPI Status: Active since April 02, 2012

Contact Information

4225 W GLENDALE AVE
SUITE 100A
PHOENIX, AZ
ZIP 85051
Phone: (623) 931-1557
Fax: (632) 931-2013

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  • Organization
  • Clinical Medical Laboratory

About GLENDALE OUTPATIENT SERVICES CLINIC

This page provides the complete NPI Profile along with additional information for Glendale Outpatient Services Clinic, a provider established in Phoenix, Arizona operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1841556073 assigned on April 2012. The practitioner's primary taxonomy code is 291U00000X with license number 03D2036661 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Glendale Outpatient Services Clinic. The authorized official of this NPI record is John Hogeboom Lisac (Vp/coo)

NPI
1841556073
Provider Legal Name
COMMUNITY BRIDGES, INC.
Other Organization Name
GLENDALE OUTPATIENT SERVICES CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4225 W GLENDALE AVE SUITE 100A PHOENIX, AZ 85051
Location Phone
(623) 931-1557
Location Fax
(632) 931-2013
Mailing Address
1855 W BASELINE RD SUITE 101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Mailing Fax
(632) 931-2013
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-02-2012
Last Update Date
04-02-2012
Code Navigator

Establishments like Glendale Outpatient Services Clinic are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
03D2036661
License State
AZ
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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

JOHN HOGEBOOM LISAC

Authorized Official Title
VP/COO
Authorized Official Phone
(480) 831-7566

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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 1841556073, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 5 → 10 → 1 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 + 8 + 8 + 1 + 1 + 0 + 5 + 1 + 2 + 0 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1841556073.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
4225 W GLENDALE AVE, SUITE E119
PHOENIX, AZ 85051
Internal Medicine (Infectious Disease)
4225 W GLENDALE AVE, SUITE B 200
PHOENIX, AZ 85051
Chiropractor
4225 W GLENDALE AVE, STE A103
PHOENIX, AZ 85051
Durable Medical Equipment & Medical Supplies
4225 W GLENDALE AVE, C106
PHOENIX, AZ 85051
Community/Behavioral Health
4225 W GLENDALE AVE, SUITE A-100/101
PHOENIX, AZ 85051
Psychiatry & Neurology (Psychiatry)
4225 W GLENDALE AVE, E119
PHOENIX, AZ 85051
Peer Specialist
4225 W GLENDALE AVE
PHOENIX, AZ 85051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841556073, enumerated as an "organization" on April 02, 2012.

The provider is located at 4225 W GLENDALE AVE SUITE 100A PHOENIX, AZ 85051 and the phone number is (623) 931-1557.

Clinical Medical Laboratory with taxonomy code 291U00000X.