LAKESHORE CLINICAL LLC
NPI 1124773130
Clinical Medical Laboratory in Rockford, IL

NPI Status: Active since February 17, 2022

Contact Information

5411 E STATE ST STE 4
ROCKFORD, IL
ZIP 61108
Phone: (224) 310-8328

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  • Organization
  • Clinical Medical Laboratory

About LAKESHORE CLINICAL LLC

This page provides the complete NPI Profile along with additional information for Lakeshore Clinical Llc, a provider established in Rockford, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1124773130 assigned on February 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Setu Shah (Ceo)

NPI
1124773130
Provider Name
LAKESHORE CLINICAL LLC
Entity Type
Organization
Location Address
5411 E STATE ST STE 4 ROCKFORD, IL 61108
Location Phone
(224) 310-8328
Mailing Address
7425 NANTUCKET CV HANOVER PARK, IL 60133
Mailing Phone
(224) 310-8328
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2022
Last Update Date
02-17-2022
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Establishments like Lakeshore Clinical Llc 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

SETU SHAH

Authorized Official Title
CEO
Authorized Official Phone
(224) 310-8328

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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.
1124773130
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144147616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 4 + 7 + 6 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124773130 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295482982 JACOB M SAIGER
Individual
Technician5411 E STATE ST STE 4
ROCKFORD, IL 61108
(815) 315-0542
1902554843 SETU SHAH
Individual
Technician5411 E STATE ST STE 4
ROCKFORD, IL 61108
(224) 310-8328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124773130, enumerated in the NPI registry as an "organization" on February 17, 2022

The provider is located at 5411 E State St Ste 4 Rockford, Il 61108 and the phone number is (224) 310-8328

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

This NPI record was last updated on February 17, 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].
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.