SOUTHWESTERN MEDICAL CLINIC OC
NPI 1336334408
Clinical Medical Laboratory in Berrien Springs, MI

NPI Status: Active since September 11, 2007

Contact Information

300 W FERRY ST
BERRIEN SPRINGS, MI
ZIP 49103
Phone: (269) 473-2387
Fax: (269) 473-2698

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  • Organization
  • Clinical Medical Laboratory

About SOUTHWESTERN MEDICAL CLINIC OC

This page provides the complete NPI Profile along with additional information for Southwestern Medical Clinic Oc, a provider established in Berrien Springs, Michigan operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1336334408 assigned on September 2007. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Diane Baker (Lab Director)

NPI
1336334408
Provider Name
SOUTHWESTERN MEDICAL CLINIC OC
Entity Type
Organization
Location Address
300 W FERRY ST BERRIEN SPRINGS, MI 49103
Location Phone
(269) 473-2387
Location Fax
(269) 473-2698
Mailing Address
300 W FERRY ST BERRIEN SPRINGS, MI 49103
Mailing Phone
(269) 473-2387
Mailing Fax
(269) 473-2698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2007
Last Update Date
09-11-2007
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Establishments like Southwestern Medical Clinic Oc 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DIANE BAKER

Authorized Official Title
LAB DIRECTOR
Authorized Official Phone
(269) 473-2387

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4399652MEDICAID (05)MI 

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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.
1336334408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236663840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 3 + 8 + 4 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1336334408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376701656MRS. KATHLEEN JOANN SHAFER LMSW
Individual
Social Worker (Clinical)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1790095594DR. DENISE ANN STODDARD PH.D.
Individual
Psychologist (Counseling)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1659585644 MARY C HUI-WEE PH.D. LP
Individual
Psychologist (Counseling)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1528513785 THOMAS OTT LLP
Individual
Psychologist (Clinical)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1831495993LIFE COACH PSYCHOLOGY PLC
Organization
Psychologist (Clinical)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1477110286 RYAN JAMES HULING LPC
Individual
Counselor (Professional)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1780292664 DEANNA MARIE KEITH LMSW
Individual
Social Worker (Clinical)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1598429151MISS ELLECIA HOPE COUSINS LLPC
Individual
Counselor (Mental Health)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1629709845 TIMOTHY SCOTT ERICH
Individual
Social Worker (Clinical)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1750155909 PHILLIP MANN
Individual
Social Worker (Clinical)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1417798018 HEATHER ROSEN LLMSW
Individual
Social Worker300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331
1053657064 MARLENE RICH LPC
Individual
Counselor (Professional)300 W FERRY ST
BERRIEN SPRINGS, MI 49103
(269) 815-5331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336334408, enumerated in the NPI registry as an "organization" on September 11, 2007

The provider is located at 300 W Ferry St Berrien Springs, Mi 49103 and the phone number is (269) 473-2387

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 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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