MBI OCCUPATIONAL HEALTHCARE CASA GRANDE
NPI 1285849364
Clinic/Center - Occupational Medicine in Casa Grande, AZ
NPI Status: Active since May 11, 2007
Contact Information
177 W COTTONWOOD LN
CASA GRANDE, AZ
ZIP 85222
Phone: (520) 836-3800
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 03D0964579
- CLIA Cert. Type: Other - OCCUPATIONAL MEDICINE
- CLIA Exp. Date: 08-26-2025
About MBI OCCUPATIONAL HEALTHCARE CASA GRANDE
This page provides the complete NPI Profile along with additional information for Mbi Occupational Healthcare Casa Grande, a provider established in Casa Grande, Arizona operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1285849364 assigned on May 2007. The practitioner's primary taxonomy code is 261QX0100X with license number OTC-3935 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Heather Wahl (Hr Director)
- NPI
- 1285849364
- Provider Name
- MBI OCCUPATIONAL HEALTHCARE CASA GRANDE
- Entity Type
- Organization
- Location Address
- 177 W COTTONWOOD LN CASA GRANDE, AZ 85222
- Location Phone
- (520) 836-3800
- Mailing Address
- 177 W COTTONWOOD LN CASA GRANDE, AZ 85222
- Mailing Phone
- (520) 836-3800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2007
- Last Update Date
- 08-22-2020
- 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 Occupational Medicine
- Taxonomy Code
- 261QX0100X
- Type
- Ambulatory Health Care Facilities
- License No.
- OTC-3935
- License State
- AZ
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
- 03D0964579
- Facility Type
- Other - OCCUPATIONAL MEDICINE
- Certificate Effective Date
- August 27, 2023
- Certificate Expiration Date
- August 26, 2025
- Laboratory Director
- PAMELA RIZZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mbi Occupational Healthcare Casa Grande 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 | 8 | 5 | 8 | 4 | 9 | 3 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 16 | 4 | 18 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 6 + 4 + 1 + 8 + 3 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1285849364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508869488 | DR. JOHN J HETHERINGTON PH.D. Individual | Audiologist | 177 W COTTONWOOD LN STE 7 CASA GRANDE, AZ 85222 (520) 836-4618 |
| 1407884414 | DR. KIMBERLY RANDOLPH JES D.C. Individual | Chiropractor | 177 W COTTONWOOD LN #13 CASA GRANDE, AZ 85222 (520) 423-2601 |
| 1962609727 | MANUEL GUERRERO III Individual | Family Medicine | 177 W COTTONWOOD LN CASA GRANDE, AZ 85222 (520) 836-3800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285849364, enumerated in the NPI registry as an "organization" on May 11, 2007
The provider is located at 177 W Cottonwood Ln Casa Grande, Az 85222 and the phone number is (520) 836-3800
This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine
The provider's CLIA number is 03D0964579 for a "other - occupational medicine" 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 May 11, 2007. 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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