MOBILE PHLEBOTOMY PROFESSIONALS LLC
NPI 1205671013
Technician, Pathology in Altamonte Springs, FL

NPI Status: Active since June 25, 2024

Contact Information

617 ASHBERRY LN
ALTAMONTE SPRINGS, FL
ZIP 32714
Phone: (551) 404-0359

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  • Organization
  • Technician, Pathology
  • CLIA Number: 10D2309741
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 08-19-2026

About MOBILE PHLEBOTOMY PROFESSIONALS LLC

This page provides the complete NPI Profile along with additional information for Mobile Phlebotomy Professionals Llc, a provider established in Altamonte Springs, Florida operating as a Technician, Pathology. The healthcare provider is registered in the NPI registry with number 1205671013 assigned on June 2024. The practitioner's primary taxonomy code is 246R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lizi Gonzalez (Authorized Official)

NPI
1205671013
Provider Name
MOBILE PHLEBOTOMY PROFESSIONALS LLC
Entity Type
Organization
Location Address
617 ASHBERRY LN ALTAMONTE SPRINGS, FL 32714
Location Phone
(551) 404-0359
Mailing Address
617 ASHBERRY LN ALTAMONTE SPRINGS, FL 32714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2024
Last Update Date
06-28-2024
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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

Technician, Pathology

Taxonomy Code
246R00000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

LIZI GONZALEZ

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(551) 404-0359

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
10D2309741
Facility Type
Mobile Laboratory
Certificate Effective Date
August 20, 2024
Certificate Expiration Date
August 19, 2026
Laboratory Director
LIZI GONZALEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mobile Phlebotomy Professionals 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.
1205671013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205127202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 2 + 7 + 2 + 0 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1205671013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205671013, enumerated in the NPI registry as an "organization" on June 25, 2024

The provider is located at 617 Ashberry Ln Altamonte Springs, Fl 32714 and the phone number is (551) 404-0359

This medical organization specializes in Technician, Pathology with taxonomy code 246R00000X

The provider's CLIA number is 10D2309741 for a "mobile laboratory" 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 June 25, 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].
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