GRAVITAS LABS LLC
NPI 1255087201
Clinical Medical Laboratory in Indianapolis, IN

NPI Status: Active since March 01, 2022

Contact Information

11903 E WELLAND ST STE F
INDIANAPOLIS, IN
ZIP 46229
Phone: (800) 537-3381

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 15D2254556
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-03-2026

About GRAVITAS LABS LLC

This page provides the complete NPI Profile along with additional information for Gravitas Labs Llc, a provider established in Indianapolis, Indiana operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1255087201 assigned on March 2022. The practitioner's primary taxonomy code is 291U00000X. 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. Terry Dove Pittman (Ceo)

NPI
1255087201
Provider Name
GRAVITAS LABS LLC
Entity Type
Organization
Location Address
11903 E WELLAND ST STE F INDIANAPOLIS, IN 46229
Location Phone
(800) 537-3381
Mailing Address
1126 INDIAN TRL CARMEL, IN 46032
Mailing Phone
(317) 701-4191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2022
Last Update Date
03-01-2022
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Establishments like Gravitas Labs 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.

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.

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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1302F00000XManaged Care Organizations

Exclusive Provider Organization

 

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. TERRY DOVE PITTMAN

Authorized Official Title
CEO
Authorized Official Phone
(317) 701-4191

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
15D2254556
Facility Type
Independent
Certificate Effective Date
March 04, 2024
Certificate Expiration Date
March 03, 2026
Laboratory Director
KIYA BEARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gravitas Labs 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.
1255087201
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105081420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 0 + 8 + 1 + 4 + 2 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1255087201 is valid because the calculated check digit 1 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 1255087201, enumerated in the NPI registry as an "organization" on March 01, 2022

The provider is located at 11903 E Welland St Ste F Indianapolis, In 46229 and the phone number is (800) 537-3381

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

The provider's CLIA number is 15D2254556 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 March 01, 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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