SOUTHERN CLINICAL LABORATORY INC.
NPI 1396751103
Clinical Medical Laboratory in Lawrenceville, GA

NPI Status: Active since August 01, 2006

Contact Information

405 W PIKE ST
SUIET A
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 513-4140
Fax: (770) 682-9529

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  • Clinical Medical Laboratory

About SOUTHERN CLINICAL LABORATORY INC.

This page provides the complete NPI Profile along with additional information for Southern Clinical Laboratory Inc., a provider established in Lawrenceville, Georgia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1396751103 assigned on August 2006. The practitioner's primary taxonomy code is 291U00000X with license number 067-025 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Ravinder C Reddy Ms (President)

NPI
1396751103
Provider Name
SOUTHERN CLINICAL LABORATORY INC.
Entity Type
Organization
Location Address
405 W PIKE ST SUIET A LAWRENCEVILLE, GA 30046
Location Phone
(770) 513-4140
Location Fax
(770) 682-9529
Mailing Address
405 W PIKE ST SUIET A LAWRENCEVILLE, GA 30046
Mailing Phone
(770) 513-4140
Mailing Fax
(770) 682-9529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2006
Last Update Date
07-06-2011
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Establishments like Southern Clinical Laboratory Inc. 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
License No.
067-025
License State
GA
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

MR. RAVINDER C REDDY MS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 513-4140

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
69WBCDKMEDICARE ID-TYPE UNSPECIFIED (04)GALABORATORY
000494535AMEDICAID (05)GA 

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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.
1396751103
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186145210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 2 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1396751103 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 1396751103, enumerated in the NPI registry as an "organization" on August 01, 2006

The provider is located at 405 W Pike St Suiet A Lawrenceville, Ga 30046 and the phone number is (770) 513-4140

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 August 01, 2006. 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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