AG LAB SERVICE
NPI 1871355446
Technician, Pathology - Phlebotomy in Stevensville, MD

NPI Status: Active since January 29, 2024

Contact Information

137 LOG CANOE CIR
STEVENSVILLE, MD
ZIP 21666
Phone: (443) 249-3405
Fax: (443) 249-3123

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  • Organization
  • Technician, Pathology
  • Phlebotomy
  • CLIA Number: 21D2319601
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-03-2027

About AG LAB SERVICE

This page provides the complete NPI Profile along with additional information for Ag Lab Service, a provider established in Stevensville, Maryland operating as a Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1871355446 assigned on January 2024. 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 authorized official of this NPI record is Ateeya Gray (Owner)

NPI
1871355446
Provider Name
AG LAB SERVICE
Entity Type
Organization
Location Address
137 LOG CANOE CIR STEVENSVILLE, MD 21666
Location Phone
(443) 249-3405
Location Fax
(443) 249-3123
Mailing Address
137 LOG CANOE CIR STEVENSVILLE, MD 21666
Mailing Phone
(443) 249-3405
Mailing Fax
(443) 249-3123
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2024
Last Update Date
02-19-2024
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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

Technician, Pathology Phlebotomy

Taxonomy Code
246RP1900X
Type
Technologists, Technicians & Other Technical Service Providers

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)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

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

ATEEYA GRAY

Authorized Official Title
OWNER
Authorized Official Phone
(443) 249-3405

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
21D2319601
Facility Type
Independent
Certificate Effective Date
March 04, 2025
Certificate Expiration Date
March 03, 2027
Laboratory Director
GARY SPROUSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ag Lab Service 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 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 1871355446, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 7 → 14 → 5 3 → 6 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 6 + 5 + 1 + 0 + 4 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1871355446.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Technician, Pathology (Phlebotomy)
137 LOG CANOE CIR
STEVENSVILLE, MD 21666
Family Medicine
137 LOG CANOE CIR
STEVENSVILLE, MD 21666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871355446, enumerated as an "organization" on January 29, 2024.

The provider is located at 137 LOG CANOE CIR STEVENSVILLE, MD 21666 and the phone number is (443) 249-3405.

Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.