WINSLOW OUTPT SERVICES CENTER
NPI 1770849903
Clinical Medical Laboratory in Winslow, AZ
NPI Status: Active since April 02, 2012
Contact Information
110 E SECOND ST
WINSLOW, AZ
ZIP 86047
Phone: (928) 289-1222
Fax: (928) 289-1122
- Organization
- Clinical Medical Laboratory
About WINSLOW OUTPT SERVICES CENTER
This page provides the complete NPI Profile along with additional information for Winslow Outpt Services Center, a provider established in Winslow, Arizona operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1770849903 assigned on April 2012. The practitioner's primary taxonomy code is 291U00000X with license number 03D2036609 (AZ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Winslow Outpt Services Center. The authorized official of this NPI record is Mr. John Hogeboom Lisac (Vp/coo)
- NPI
- 1770849903
- Provider Legal Name
- COMMUNITY BRIDGES, INC
- Other Organization Name
- WINSLOW OUTPT SERVICES CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 110 E SECOND ST WINSLOW, AZ 86047
- Location Phone
- (928) 289-1222
- Location Fax
- (928) 289-1122
- Mailing Address
- 1855 W BASELINE RD SUITE 101 MESA, AZ 85202
- Mailing Phone
- (480) 831-7566
- Mailing Fax
- (928) 289-1122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-02-2012
- Last Update Date
- 04-02-2012
- Code Navigator
Establishments like Winslow Outpt Services Center 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.
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.
- 03D2036609
- License State
- AZ
- 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.
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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 | 7 | 0 | 8 | 4 | 9 | 9 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 16 | 4 | 18 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 6 + 4 + 1 + 8 + 9 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1770849903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366749491 | NANCY CAROL STEHLE MSW Individual | Social Worker (Clinical) | 110 E SECOND ST WINSLOW, AZ 86047 (928) 829-1222 |
| 1780333799 | COMMUNITY BRIDGES, INC. Organization | Clinic/Center (Adolescent and Children Mental Health) | 110 E SECOND ST WINSLOW, AZ 86047 (928) 289-1122 |
| 1851698666 | COMMUNITY BRIDGES, INC. Organization | Community/Behavioral Health | 110 E SECOND ST WINSLOW, AZ 86047 (928) 289-1222 |
| 1982596243 | JACQUELINE FOUNTAIN LAAC Individual | Counselor (Addiction (Substance Use Disorder)) | 110 E SECOND ST WINSLOW, AZ 86047 (602) 989-3276 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770849903, enumerated in the NPI registry as an "organization" on April 02, 2012
The provider is located at 110 E Second St Winslow, Az 86047 and the phone number is (928) 289-1222
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
This NPI record was last updated on April 02, 2012. 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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