DBA ALPINE DERMATOPATHOLOGY
NPI 1689943300
Clinical Medical Laboratory in Springville, UT
NPI Status: Active since December 27, 2011
Contact Information
732 N MAIN ST
SPRINGVILLE, UT
ZIP 84663
Phone: (801) 210-8989
Fax: (801) 723-0126
- Organization
- Clinical Medical Laboratory
- CLIA Number: 46D2082640
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-15-2025
About DBA ALPINE DERMATOPATHOLOGY
This page provides the complete NPI Profile along with additional information for Dba Alpine Dermatopathology, a provider established in Springville, Utah operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1689943300 assigned on December 2011. The practitioner's primary taxonomy code is 291U00000X with license number 1770634909 (UT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Dba Alpine Dermatopathology. The authorized official of this NPI record is Warren Peterson Do (Physician)
- NPI
- 1689943300
- Provider Legal Name
- ASPEN DERMATOPATHOLOGY
- Other Organization Name
- DBA ALPINE DERMATOPATHOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 732 N MAIN ST SPRINGVILLE, UT 84663
- Location Phone
- (801) 210-8989
- Location Fax
- (801) 723-0126
- Mailing Address
- 114 E 800 N SPANISH FORK, UT 84660
- Mailing Phone
- (801) 794-1490
- Mailing Fax
- (801) 723-0126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2011
- Last Update Date
- 08-14-2012
- Code Navigator
Establishments like Dba Alpine Dermatopathology 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.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
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
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License No.
- 1770634909
- License State
- UT
- 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.
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
- 46D2082640
- Facility Type
- Physician Office
- Certificate Effective Date
- June 16, 2023
- Certificate Expiration Date
- June 15, 2025
- Laboratory Director
- CHAD R. PETERSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dba Alpine Dermatopathology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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. | |||||||||
| 1 | 6 | 8 | 9 | 9 | 4 | 3 | 3 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 18 | 4 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 8 + 4 + 6 + 3 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1689943300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992144364 | SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC Organization | Dermatology (Dermatopathology) | 732 N MAIN ST SPRINGVILLE, UT 84663 (801) 704-7001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689943300, enumerated in the NPI registry as an "organization" on December 27, 2011
The provider is located at 732 N Main St Springville, Ut 84663 and the phone number is (801) 210-8989
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider's CLIA number is 46D2082640 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 27, 2011. 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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