OCCUPATIONAL MEDICINE CONSULTANTS, LTD
NPI 1962624437
Clinic/Center - Occupational Medicine in Edina, MN

NPI Status: Active since May 03, 2007

Contact Information

6515 BARRIE ROAD
SUITE 150
EDINA, MN
ZIP 55435
Phone: (952) 920-5663
Fax: (952) 928-9006

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 24D0873142
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 07-07-2027

About OCCUPATIONAL MEDICINE CONSULTANTS, LTD

This page provides the complete NPI Profile along with additional information for Occupational Medicine Consultants, Ltd, a provider established in Edina, Minnesota operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1962624437 assigned on May 2007. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Thomas C Jetzer Md (President)

NPI
1962624437
Provider Name
OCCUPATIONAL MEDICINE CONSULTANTS, LTD
Entity Type
Organization
Location Address
6515 BARRIE ROAD SUITE 150 EDINA, MN 55435
Location Phone
(952) 920-5663
Location Fax
(952) 928-9006
Mailing Address
PO BOX 380 LONG LAKE, MN 55356
Mailing Phone
(952) 920-5663
Mailing Fax
(952) 928-9006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
08-22-2020
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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

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

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

DR. THOMAS C JETZER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 920-5663

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
24D0873142
Facility Type
Other
Certificate Effective Date
July 08, 2025
Certificate Expiration Date
July 07, 2027
Laboratory Director
THOMAS C. JETZER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Occupational Medicine Consultants, Ltd 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 1962624437, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 2 + 2 + 8 + 4 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1962624437.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962624437, enumerated as an "organization" on May 03, 2007.

The provider is located at 6515 BARRIE ROAD SUITE 150 EDINA, MN 55435 and the phone number is (952) 920-5663.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.