BURNING ROCK DX LLC
NPI 1558093302
Pathology - Clinical Pathology/Laboratory Medicine in Irvine, CA

NPI Status: Active since June 29, 2022

Contact Information

121 INNOVATION DR STE 100
IRVINE, CA
ZIP 92617
Phone: (949) 732-6488

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  • Organization
  • Pathology
  • Clinical Pathology/Laboratory Medicine
  • CLIA Number: 05D2215839
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 07-06-2025

About BURNING ROCK DX LLC

This page provides the complete NPI Profile along with additional information for Burning Rock Dx Llc, a provider established in Irvine, California operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1558093302 assigned on June 2022. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Lavee Yang (Director Of Quality)

NPI
1558093302
Provider Name
BURNING ROCK DX LLC
Entity Type
Organization
Location Address
121 INNOVATION DR STE 100 IRVINE, CA 92617
Location Phone
(949) 732-6488
Mailing Address
121 INNOVATION DR STE 100 IRVINE, CA 92617
Mailing Phone
(949) 732-6488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2022
Last Update Date
07-20-2022
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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

Pathology Clinical Pathology/Laboratory Medicine

Taxonomy Code
207ZP0105X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. LAVEE YANG

Authorized Official Title
DIRECTOR OF QUALITY
Authorized Official Phone
(608) 563-8063

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
05D2215839
Facility Type
Independent
Certificate Effective Date
July 07, 2023
Certificate Expiration Date
July 06, 2025
Laboratory Director
DR. DANIEL C. CHEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Burning Rock Dx Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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.
1558093302
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2510809630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 0 + 9 + 6 + 3 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1558093302 is valid because the calculated check digit 2 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 1558093302, enumerated in the NPI registry as an "organization" on June 29, 2022

The provider is located at 121 Innovation Dr Ste 100 Irvine, Ca 92617 and the phone number is (949) 732-6488

This medical organization specializes in Pathology with taxonomy code 207ZP0105X with a focus in Clinical Pathology/Laboratory Medicine

The provider's CLIA number is 05D2215839 for a "independent" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 29, 2022. 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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