PHLEBLAB LLC
NPI 1023721750
Clinic/Center - Health Service in Richmond Hts, OH

NPI Status: Active since December 27, 2022

Contact Information

464 RICHMOND RD
RICHMOND HTS, OH
ZIP 44143
Phone: (216) 832-6764

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 36D2263657
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 06-29-2026

About PHLEBLAB LLC

This page provides the complete NPI Profile along with additional information for Phleblab Llc, a provider established in Richmond Hts, Ohio operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1023721750 assigned on December 2022. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Renee Denise Blackmon Ceo (Ceo)

NPI
1023721750
Provider Name
PHLEBLAB LLC
Entity Type
Organization
Location Address
464 RICHMOND RD RICHMOND HTS, OH 44143
Location Phone
(216) 832-6764
Mailing Address
1536 SAINT CLAIR AVE NE CLEVELAND, OH 44114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2022
Last Update Date
12-27-2022
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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 Health Service

Taxonomy Code
261QH0100X
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

MS. RENEE DENISE BLACKMON CEO

Authorized Official Title
CEO
Authorized Official Phone
(216) 832-6764

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
36D2263657
Facility Type
Independent
Certificate Effective Date
June 30, 2024
Certificate Expiration Date
June 29, 2026
Laboratory Director
RENEE D. BLACKMON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Phleblab Llc 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023721750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431422710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 4 + 2 + 2 + 7 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023721750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942295001RICHMOND FOOT & ANKLE CARE, INC.
Organization
Podiatrist (Foot & Ankle Surgery)464 RICHMOND RD SUITE 201
RICHMOND HEIGHTS, OH 44143
(216) 481-6654
1952488389DR. STANLEY LOWELL FOX M.D.
Individual
Dermatology464 RICHMOND RD SUITE 101
RICHMOND HTS, OH 44143
(216) 486-2233
1912078080 DIANE SEATON BELLAS LPCC
Individual
Counselor (Professional)464 RICHMOND RD STE 203
RICHMOND HEIGHTS, OH 44143
(216) 738-0819
1407987985STANLEY LOWELL FOX MD INC
Organization
Specialist464 RICHMOND RD SUITE 101
RICHMOND HTS, OH 44143
(216) 486-2233
1538197884DR. GREGORY L HALL MD
Individual
Internal Medicine464 RICHMOND RD SUITE 201
CLEVELAND, OH 44143
(216) 881-5055
1063539260GREGORY L. HALL M.D. INC
Organization
Preferred Provider Organization464 RICHMOND RD SUITE 201
RICHMOND HEIGHTS, OH 44143
(216) 881-5055
1700206208 MELANIE Y HALL APRN FNP-C
Individual
Nurse Practitioner (Family)464 RICHMOND RD SUITE 201
RICHMOND HEIGHTS, OH 44143
(216) 881-5055
1316587462MS. KARLY MCENDREE RN
Individual
Registered Nurse464 RICHMOND RD
CLEVELAND, OH 44143
(216) 261-6398
1942354717FAITH MEDICAL ASSOCIATES, INC
Organization
Internal Medicine464 RICHMOND RD 102
CLEVELAND, OH 44143
(216) 486-3233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023721750, enumerated in the NPI registry as an "organization" on December 27, 2022

The provider is located at 464 Richmond Rd Richmond Hts, Oh 44143 and the phone number is (216) 832-6764

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider's CLIA number is 36D2263657 for a "independent" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on December 27, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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