HERITAGE HEALTHCARE SVCS INC
NPI 1114791050
Clinical Medical Laboratory in Crete, IL
NPI Status: Active since November 10, 2023
- Organization
- Clinical Medical Laboratory
- CLIA Number: 14D2293707
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 11-13-2025
About HERITAGE HEALTHCARE SVCS INC
This page provides the complete NPI Profile along with additional information for Heritage Healthcare Svcs Inc, a provider established in Crete, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1114791050 assigned on November 2023. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Heritage Healthcare Svcs Inc. The authorized official of this NPI record is Crystal Dawn Duchaj (President)
- NPI
- 1114791050
- Provider Legal Name
- AME DIAGNOSTIC CENTER INC
- Other Organization Name
- HERITAGE HEALTHCARE SVCS INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3670 AYR LN CRETE, IL 60417
- Location Phone
- (773) 358-1393
- Mailing Address
- 3670 AYR LN CRETE, IL 60417
- Mailing Phone
- (773) 358-1393
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2023
- Last Update Date
- 12-10-2024
- Code Navigator
Establishments like Heritage Healthcare Svcs Inc 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.
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
- 14D2293707
- Facility Type
- Independent
- Certificate Effective Date
- November 14, 2023
- Certificate Expiration Date
- November 13, 2025
- Laboratory Director
- CRYSTAL DAWN DUCHAJ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heritage Healthcare Svcs Inc 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. | |||||||||
| 1 | 1 | 1 | 4 | 7 | 9 | 1 | 0 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 14 | 9 | 2 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 4 + 9 + 2 + 0 + 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 1114791050 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245777051 | HERITAGE LAB EXPRESS INC Organization | Clinical Medical Laboratory | 3670 AYR LN CRETE, IL 60417 (224) 735-6279 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114791050, enumerated in the NPI registry as an "organization" on November 10, 2023
The provider is located at 3670 Ayr Ln Crete, Il 60417 and the phone number is (773) 358-1393
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider's CLIA number is 14D2293707 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 November 10, 2023. 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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