MEDICAL AND GENETIC DIAGNOSTICS CORP
NPI 1770295826
Clinical Medical Laboratory in Haddonfield, NJ

NPI Status: Active since December 20, 2022

Contact Information

807 N HADDON AVE STE 102
HADDONFIELD, NJ
ZIP 08033
Phone: (862) 505-8034

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 31D2273937
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 01-21-2027

About MEDICAL AND GENETIC DIAGNOSTICS CORP

This page provides the complete NPI Profile along with additional information for Medical And Genetic Diagnostics Corp, a provider established in Haddonfield, New Jersey operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1770295826 assigned on December 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Bassem Mahmoud (Ceo)

NPI
1770295826
Provider Name
MEDICAL AND GENETIC DIAGNOSTICS CORP
Entity Type
Organization
Location Address
807 N HADDON AVE STE 102 HADDONFIELD, NJ 08033
Location Phone
(862) 505-8034
Mailing Address
807 N HADDON AVE STE 102 HADDONFIELD, NJ 08033
Mailing Phone
(862) 505-8034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2022
Last Update Date
08-02-2024
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Establishments like Medical And Genetic Diagnostics Corp 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.

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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

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.

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

BASSEM MAHMOUD

Authorized Official Title
CEO
Authorized Official Phone
(862) 505-8034

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
31D2273937
Facility Type
Independent
Certificate Effective Date
January 22, 2025
Certificate Expiration Date
January 21, 2027
Laboratory Director
DR. RAFIQ SHAHID
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Medical And Genetic Diagnostics Corp 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.
1770295826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140491084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 1 + 0 + 8 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1770295826 is valid because the calculated check digit 6 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 1770295826, enumerated in the NPI registry as an "organization" on December 20, 2022

The provider is located at 807 N Haddon Ave Ste 102 Haddonfield, Nj 08033 and the phone number is (862) 505-8034

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider's CLIA number is 31D2273937 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 December 20, 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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