CARLSEN HISTOPATH
NPI 1932296092
Dermatology - Dermatopathology in Bellevue, WA

NPI Status: Active since October 09, 2006

Contact Information

2330 130TH AVE NE # 201
BELLEVUE, WA
ZIP 98005
Phone: (425) 455-9945
Fax: (425) 455-9947

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  • Organization
  • Dermatology
  • Dermatopathology
  • Accepts Insurance
  • CLIA Number: 50D0629327
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 04-04-2028

About CARLSEN HISTOPATH

This page provides the complete NPI Profile along with additional information for Carlsen Histopath, a provider established in Bellevue, Washington operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1932296092 assigned on October 2006. The practitioner's primary taxonomy code is 207ND0900X with license number 50D0629327 (WA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Carlsen Histopath. The authorized official of this NPI record is Stacey P Murdoch (Office Manager)

NPI
1932296092
Provider Legal Name
DERMATOPATHOLOTY NORTHWEST PLLC
Other Organization Name
CARLSEN HISTOPATH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2330 130TH AVE NE # 201 BELLEVUE, WA 98005
Location Phone
(425) 455-9945
Location Fax
(425) 455-9947
Mailing Address
2330 130TH AVE NE # 201 BELLEVUE, WA 98005
Mailing Phone
(425) 455-9945
Mailing Fax
(425) 455-9947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2006
Last Update Date
08-19-2008
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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

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
50D0629327
License State
WA
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

STACEY P MURDOCH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(425) 455-9945

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6337DEOTHER (01)WAREGENCE
GAB12789MEDICARE ID-TYPE UNSPECIFIED (04)WA 
7099864MEDICAID (05)WA 

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
50D0629327
Facility Type
Independent
Certificate Effective Date
November 01, 1993
Certificate Expiration Date
April 04, 2028
Laboratory Director
JOHN S. WALSH
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Carlsen Histopath after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for CARLSEN HISTOPATH

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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 1932296092, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 3 → 6 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 6 + 2 + 4 + 9 + 1 + 2 + 0 + 1 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1932296092.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932296092, enumerated as an "organization" on October 09, 2006.

The provider is located at 2330 130TH AVE NE # 201 BELLEVUE, WA 98005 and the phone number is (425) 455-9945.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Premera. Please consult your insurance carrier or call the provider to verify.