BON LABORATORY SERVICES INC
NPI 1720730385
Technician, Pathology - Medical Laboratory in Charlotte, NC

NPI Status: Active since January 24, 2022

Contact Information

14248 DRAKE WATCH LN
CHARLOTTE, NC
ZIP 28262
Phone: (773) 852-7866

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  • Organization
  • Technician, Pathology
  • Medical Laboratory
  • CLIA Number: 34D2253513
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-21-2026

About BON LABORATORY SERVICES INC

This page provides the complete NPI Profile along with additional information for Bon Laboratory Services Inc, a provider established in Charlotte, North Carolina operating as a Technician, Pathology, focusing in medical laboratory . The healthcare provider is registered in the NPI registry with number 1720730385 assigned on January 2022. The practitioner's primary taxonomy code is 246RM2200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ansar Mohammed (President)

NPI
1720730385
Provider Name
BON LABORATORY SERVICES INC
Entity Type
Organization
Location Address
14248 DRAKE WATCH LN CHARLOTTE, NC 28262
Location Phone
(773) 852-7866
Mailing Address
14248 DRAKE WATCH LN CHARLOTTE, NC 28262
Mailing Phone
(773) 852-7866
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2022
Last Update Date
01-28-2022
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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

Technician, Pathology Medical Laboratory

Taxonomy Code
246RM2200X
Type
Technologists, Technicians & Other Technical Service Providers

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)
1291U00000XLaboratories

Clinical Medical Laboratory

 

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

ANSAR MOHAMMED

Authorized Official Title
PRESIDENT
Authorized Official Phone
(773) 852-7866

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
34D2253513
Facility Type
Community Clinic
Certificate Effective Date
February 22, 2024
Certificate Expiration Date
February 21, 2026
Laboratory Director
MOHAMMED A. ELYAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bon Laboratory Services 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.

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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.
1720730385
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401430316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 4 + 3 + 0 + 3 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1720730385 is valid because the calculated check digit 5 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 1720730385, enumerated in the NPI registry as an "organization" on January 24, 2022

The provider is located at 14248 Drake Watch Ln Charlotte, Nc 28262 and the phone number is (773) 852-7866

This medical organization specializes in Technician, Pathology with taxonomy code 246RM2200X with a focus in Medical Laboratory

The provider's CLIA number is 34D2253513 for a "community clinic" 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 24, 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].
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.