AETERNA LIFE LLC
NPI 1275336919
Clinic/Center - Health Service in Milwaukee, WI
NPI Status: Active since March 28, 2025
Contact Information
7505 W THURSTON AVE
MILWAUKEE, WI
ZIP 53218
Phone: (414) 301-3661
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 52D2321783
- CLIA Cert. Type: Other - MOBILE PHLEBOTOMY SERVICE
- CLIA Exp. Date: 04-08-2027
About AETERNA LIFE LLC
This page provides the complete NPI Profile along with additional information for Aeterna Life Llc, a provider established in Milwaukee, Wisconsin operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1275336919 assigned on March 2025. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated March 2025. The authorized official of this NPI record is Maya Westmoreland (Owner)
- NPI
- 1275336919
- Provider Name
- AETERNA LIFE LLC
- Entity Type
- Organization
- Location Address
- 7505 W THURSTON AVE MILWAUKEE, WI 53218
- Location Phone
- (414) 301-3661
- Mailing Address
- 7505 W THURSTON AVE MILWAUKEE, WI 53218
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-28-2025
- Last Update Date
- 03-28-2025
- Code Navigator
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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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
- 52D2321783
- Facility Type
- Other - MOBILE PHLEBOTOMY SERVICE
- Certificate Effective Date
- April 09, 2025
- Certificate Expiration Date
- April 08, 2027
- Laboratory Director
- MAYA N. WESTMORELAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aeterna Life 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. | |||||||||
| 1 | 2 | 7 | 5 | 3 | 3 | 6 | 9 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 6 | 3 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 6 + 3 + 1 + 2 + 9 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1275336919 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1467159087 | MAYA WESTMORELAND Individual | Technician, Pathology (Phlebotomy) | 7505 W THURSTON AVE MILWAUKEE, WI 53218 (414) 301-3661 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275336919, enumerated in the NPI registry as an "organization" on March 28, 2025
The provider is located at 7505 W Thurston Ave Milwaukee, Wi 53218 and the phone number is (414) 301-3661
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider's CLIA number is 52D2321783 for a "other - mobile phlebotomy service" 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 28, 2025. 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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