SUPERIOR AMBULANCE AVIATION, INC
NPI 1518558063
Ambulance - Air Transport in Elmhurst, IL

NPI Status: Active since January 28, 2021

Contact Information

395 W LAKE ST
ELMHURST, IL
ZIP 60126
Phone: (630) 832-2012

Get Directions Reviews

  • Organization
  • Ambulance
  • Air Transport
  • CLIA Number: 14D0692412
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-31-2026

About SUPERIOR AMBULANCE AVIATION, INC

This page provides the complete NPI Profile along with additional information for Superior Ambulance Aviation, Inc, a provider established in Elmhurst, Illinois operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1518558063 assigned on January 2021. The practitioner's primary taxonomy code is 3416A0800X. 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 Jonathon Moloney (Ar Manager)

NPI
1518558063
Provider Name
SUPERIOR AMBULANCE AVIATION, INC
Entity Type
Organization
Location Address
395 W LAKE ST ELMHURST, IL 60126
Location Phone
(630) 832-2012
Mailing Address
395 W LAKE ST ELMHURST, IL 60126
Mailing Phone
(630) 832-2012
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2021
Last Update Date
01-28-2021
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

Ambulance Air Transport

Taxonomy Code
3416A0800X
Type
Transportation Services

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)
1344800000XTransportation Services

Air Carrier

 

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

JONATHON MOLONEY

Authorized Official Title
AR MANAGER
Authorized Official Phone
(630) 903-2260

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
14D0692412
Facility Type
Other
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
CHERIE L. PEPPING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Superior Ambulance Aviation, Inc 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.

Reviews for SUPERIOR AMBULANCE AVIATION, INC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1518558063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252810516012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 0 + 5 + 1 + 6 + 0 + 1 + 2 + 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 1518558063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215993860METRO PARAMEDIC SERVICE INC
Organization
Ambulance (Land Transport)395 W LAKE ST
ELMHURST, IL 60126
(630) 530-2988
1467549527PEOTONE FIRE PROTECTION DIST
Organization
Ambulance (Land Transport)395 W LAKE ST
ELMHURST, IL 60126
(630) 530-2988
1336107838SUPERIOR AIR-GROUND AMBULANCE SERVICE, INC
Organization
Ambulance (Land Transport)395 W LAKE ST
ELMHURST, IL 60126
(630) 832-2012
1255399614ILLINOIS MEDI-CAR, INC
Organization
Non-emergency Medical Transport (VAN)395 W LAKE ST
ELMHURST, IL 60126
(630) 832-2012
1720288186SUPERIOR AIR AMBULANCE SERVICE, INC
Organization
Ambulance (Air Transport)395 W LAKE ST
ELMHURST, IL 60126
(630) 832-2012
1598123481 MARTIN WALSH
Individual
Emergency Medical Technician, Basic395 W LAKE ST
ELMHURST, IL 60126
(630) 530-2988
1649285164FOX LAKE FIRE DEPARTMENT
Organization
Ambulance (Land Transport)395 W LAKE ST
ELMHURST, IL 60126
(847) 587-8570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518558063, enumerated in the NPI registry as an "organization" on January 28, 2021

The provider is located at 395 W Lake St Elmhurst, Il 60126 and the phone number is (630) 832-2012

This medical organization specializes in Ambulance with taxonomy code 3416A0800X with a focus in Air Transport

The provider's CLIA number is 14D0692412 for a "other" 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 January 28, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.