ADVENTHEALTH DAYTONA BEACH
NPI 1104696178
Clinical Medical Laboratory in Daytona Beach, FL

NPI Status: Active since January 02, 2024

Contact Information

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 231-6000

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  • Organization
  • Clinical Medical Laboratory

About ADVENTHEALTH DAYTONA BEACH

This page provides the complete NPI Profile along with additional information for Adventhealth Daytona Beach, a provider established in Daytona Beach, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1104696178 assigned on January 2024. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Adventhealth Daytona Beach. The authorized official of this NPI record is Cory Douglas Domayer (Cfo)

NPI
1104696178
Provider Legal Name
MEMORIAL HEALTH SYSTEMS INC
Other Organization Name
ADVENTHEALTH DAYTONA BEACH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 MEMORIAL MEDICAL PKWY DAYTONA BEACH, FL 32117
Location Phone
(386) 231-6000
Mailing Address
770 W GRANADA BLVD STE 203 ORMOND BEACH, FL 32174
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-02-2024
Last Update Date
01-08-2024
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Establishments like Adventhealth Daytona Beach 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.

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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

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.

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

CORY DOUGLAS DOMAYER

Authorized Official Title
CFO
Authorized Official Phone
(386) 586-4200

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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.
1104696178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210412912114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 2 + 9 + 1 + 2 + 1 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1104696178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538148382DR. JAMES E ROBERTS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-3039
1215986138FLORIDA EM-I MEDICAL SERVICES PA
Organization
Emergency Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 676-6022
1336376987 VADIM PURYGIN MD
Individual
Anesthesiology301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 676-6000
1851693568COMPREHENSIVE HOSPITALIST SERVICES OF NAPLES LLC
Organization
Hospitalist301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(877) 693-5700
1831206945 PAULA JEANNE BLAIS ARNP-C
Individual
Nurse Practitioner (Family)301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-1091
1215234984 ANGELA L RICCI PA
Individual
Physician Assistant301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-1091
1669725891 JEANINE FERNANDEZ CRNA
Individual
Nurse Anesthetist, Certified Registered301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-3518
1033550454MRS. ROSA ZAMIRIS PEREZ CRNA
Individual
Nurse Anesthetist, Certified Registered301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-3518
1487808507MRS. ANGELA BAKER STERRETT RD, LD, CDE
Individual
Dietitian, Registered301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-3177
1043269376STERTHAUS ER SVCS PARTNERSHIP LLC
Organization
Emergency Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 676-6022
1467497792DR. CLAUDINA A BONILLA M.D.
Individual
Internal Medicine (Critical Care Medicine)301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(407) 883-0655
1972588788 KATHLEEN ANN WILLIAMS MD
Individual
Internal Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-1091
1952613887 PRATAP CHINTALA M.D.
Individual
Internal Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-1091
1740549740DR. CHRISTOPHER PAUL RICCARD M.D.
Individual
Family Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-6000
1699160606 LEANNE STROUD CRNA
Individual
Nurse Anesthetist, Certified Registered301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-6000
1659476562DR. TARIK ALSHARIF MD
Individual
Family Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-6000
1669844577ANEMONE EMERGENCY PHYSICIANS, LLC
Organization
Emergency Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(469) 401-2386
1669845491VIKING EMERGENCY PHYSICIANS, LLC
Organization
Emergency Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(469) 401-2386
1891089744 NELSON KAZIE MD
Individual
Internal Medicine301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
(386) 231-1090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104696178, enumerated in the NPI registry as an "organization" on January 02, 2024

The provider is located at 301 Memorial Medical Pkwy Daytona Beach, Fl 32117 and the phone number is (386) 231-6000

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

This NPI record was last updated on January 02, 2024. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.