KAISER PERMANENTE
NPI 1871823328
Clinical Medical Laboratory in Decatur, GA

NPI Status: Active since January 06, 2010

Contact Information

201 W PONCE DE LEON AVE
SUITE A
DECATUR, GA
ZIP 30030
Phone: (404) 687-7700
Fax: (404) 687-7731

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 11D2000721
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-03-2027

About KAISER PERMANENTE

This page provides the complete NPI Profile along with additional information for Kaiser Permanente, a provider established in Decatur, Georgia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1871823328 assigned on January 2010. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Katherine Farmer (Director Of Laboratory Services)

NPI
1871823328
Provider Name
KAISER PERMANENTE
Entity Type
Organization
Location Address
201 W PONCE DE LEON AVE SUITE A DECATUR, GA 30030
Location Phone
(404) 687-7700
Location Fax
(404) 687-7731
Mailing Address
3495 PIEDMONT RD NE ATLANTA, GA 30305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2010
Last Update Date
07-15-2021
Code Navigator

Establishments like Kaiser Permanente 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.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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
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.

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)
1291U00000XLaboratories

Clinical Medical Laboratory

11D2000721 (GA)

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

KATHERINE FARMER

Authorized Official Title
DIRECTOR OF LABORATORY SERVICES
Authorized Official Phone
(404) 309-9314

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
11D2000721
Facility Type
Physician Office
Certificate Effective Date
December 04, 2025
Certificate Expiration Date
December 03, 2027
Laboratory Director
JAMES C. GAUTHIER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Kaiser Permanente in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1871823328, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 8 → 16 → 7 3 → 6 2 → 4

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 + 1 + 6 + 2 + 6 + 3 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1871823328.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist (Geriatric)
201 W PONCE DE LEON AVE, 431
DECATUR, GA 30030
Emergency Medicine
201 W PONCE DE LEON AVE, #32
DECATUR, GA 30030
Pharmacy (Managed Care Organization Pharmacy)
201 W PONCE DE LEON AVE
DECATUR, GA 30030
Family Medicine
201 W PONCE DE LEON AVE
DECATUR, GA 30030
Family Medicine
201 W PONCE DE LEON AVE
DECATUR, GA 30030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871823328, enumerated as an "organization" on January 06, 2010.

The provider is located at 201 W PONCE DE LEON AVE SUITE A DECATUR, GA 30030 and the phone number is (404) 687-7700.

Clinical Medical Laboratory with taxonomy code 291U00000X.