HEALTHSTAT ON-SITE CLINIC/MILLIKEN SYCAMORE
NPI 1598190480
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Clinton, SC

NPI Status: Active since September 10, 2013

Contact Information

12445 HIGHWAY 56 N
CLINTON, SC
ZIP 29325
Phone: (706) 880-5175

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...
  • CLIA Number: 42D1065213
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 02-25-2027

About HEALTHSTAT ON-SITE CLINIC/MILLIKEN SYCAMORE

This page provides the complete NPI Profile along with additional information for Healthstat On-site Clinic/milliken Sycamore, a provider established in Clinton, South Carolina operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1598190480 assigned on September 2013. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 12 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 Warren Hutton (Coo)

NPI
1598190480
Provider Name
HEALTHSTAT ON-SITE CLINIC/MILLIKEN SYCAMORE
Entity Type
Organization
Location Address
12445 HIGHWAY 56 N CLINTON, SC 29325
Location Phone
(706) 880-5175
Mailing Address
4651 CHARLOTTE PARK DR SUITE 300 CHARLOTTE, NC 28217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2013
Last Update Date
09-10-2013
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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

WARREN HUTTON

Authorized Official Title
COO
Authorized Official Phone
(704) 529-6161

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
42D1065213
Facility Type
Other
Certificate Effective Date
February 26, 2025
Certificate Expiration Date
February 25, 2027
Laboratory Director
JAMIE PUCKETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Healthstat On-site Clinic/milliken Sycamore 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.
1598190480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25188290416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 2 + 9 + 0 + 4 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1598190480 is valid because the calculated check digit 0 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 1598190480, enumerated in the NPI registry as an "organization" on September 10, 2013

The provider is located at 12445 Highway 56 N Clinton, Sc 29325 and the phone number is (706) 880-5175

This medical organization specializes in Preventive Medicine with taxonomy code 2083P0500X with a focus in Preventive Medicine/Occupational Environmental Medicine

The provider's CLIA number is 42D1065213 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 September 10, 2013. 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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