KAISER PERMANENTE
NPI 1760750137
Clinical Medical Laboratory in Athens, GA
NPI Status: Active since December 13, 2011
Contact Information
2142 W BROAD ST
BLDG 200
ATHENS, GA
ZIP 30606
Phone: (706) 583-5000
Fax: (706) 583-5002
- Organization
- Clinical Medical Laboratory
- CLIA Number: 11D2032281
- CLIA Cert. Type: Health Main. Organization
- CLIA Exp. Date: 11-07-2025
About KAISER PERMANENTE
This page provides the complete NPI Profile along with additional information for Kaiser Permanente, a provider established in Athens, Georgia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1760750137 assigned on December 2011. The practitioner's primary taxonomy code is 291U00000X. 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 Katherine Farmer (Director Of Laboratory Services)
- NPI
- 1760750137
- Provider Name
- KAISER PERMANENTE
- Entity Type
- Organization
- Location Address
- 2142 W BROAD ST BLDG 200 ATHENS, GA 30606
- Location Phone
- (706) 583-5000
- Location Fax
- (706) 583-5002
- Mailing Address
- 3495 PIEDMONT RD NE ATLANTA, GA 30305
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2011
- Last Update Date
- 07-15-2021
- Code Navigator
Establishments like Kaiser Permanente 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
- 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.
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) |
|---|---|---|---|---|
| 1 | 291U00000X | Laboratories | Clinical Medical Laboratory | 11D2032281 (GA) |
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
- 11D2032281
- Facility Type
- Health Main. Organization
- Certificate Effective Date
- November 08, 2023
- Certificate Expiration Date
- November 07, 2025
- Laboratory Director
- DANIEL GRIZZLE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Kaiser Permanente in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 | 7 | 6 | 0 | 7 | 5 | 0 | 1 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 14 | 5 | 0 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 4 + 5 + 0 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1760750137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073530937 | GNS,LLC Organization | Neurological Surgery | 2142 W BROAD ST BLDG 100 SUITE 200 ATHENS, GA 30606 (706) 548-6881 |
| 1376747881 | BOGDAN CRISTIAN JALIU MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 2142 W BROAD ST BLDG 100 STE 200 ATHENS, GA 30606 (706) 548-6881 |
| 1174768220 | MRS. DONNA BAGGETT MARTIN FNP-BC Individual | Nurse Practitioner (Family) | 2142 W BROAD ST BLDG 100, STE 200 ATHENS, GA 30606 (706) 548-6881 |
| 1508135658 | SURGERY CENTER OF ATHENS LLC Organization | Clinic/Center (Ambulatory Surgical) | 2142 W BROAD ST SUITE 100 ATHENS, GA 30606 (781) 733-2235 |
| 1659763035 | JAIME BARRERA FNP-C Individual | Nurse Practitioner (Family) | 2142 W BROAD ST BLDG 200 STE 200 ATHENS, GA 30606 (706) 612-9401 |
| 1770096034 | MS. RACHEL VICTORIA TREADWELL FNP-C Individual | Nurse Practitioner (Family) | 2142 W BROAD ST ATHENS, GA 30606 (706) 612-9401 |
| 1487826079 | HARLAN JASON BRUNER M.D. Individual | Neurological Surgery | 2142 W BROAD ST BUILDING 100, STE 200 ATHENS, GA 30606 (706) 548-6881 |
| 1265431092 | DR. MARK FREDERICK ELLISON M.D. Individual | Urology | 2142 W BROAD ST BUILDING 200, SUITE 200 ATHENS, GA 30606 (706) 612-9401 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760750137, enumerated in the NPI registry as an "organization" on December 13, 2011
The provider is located at 2142 W Broad St Bldg 200 Athens, Ga 30606 and the phone number is (706) 583-5000
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider's CLIA number is 11D2032281 for a "health main. organization" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on December 13, 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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