PRIME EXPRESS LABORATORY LLC
NPI 1952057747
Clinic/Center - Health Service in Milwaukee, WI

NPI Status: Active since March 01, 2022

Contact Information

7607 W TOWNSEND ST STE 105
MILWAUKEE, WI
ZIP 53222
Phone: (877) 407-6537

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 52D2253316
  • CLIA Cert. Type: Other - DIAGNOSTIC LAB
  • CLIA Exp. Date: 02-17-2026

About PRIME EXPRESS LABORATORY LLC

This page provides the complete NPI Profile along with additional information for Prime Express Laboratory Llc, a provider established in Milwaukee, Wisconsin operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1952057747 assigned on March 2022. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Vinnetta Ashirah Paul Rn (Owner)

NPI
1952057747
Provider Name
PRIME EXPRESS LABORATORY LLC
Entity Type
Organization
Location Address
7607 W TOWNSEND ST STE 105 MILWAUKEE, WI 53222
Location Phone
(877) 407-6537
Mailing Address
7607 W TOWNSEND ST STE 105 MILWAUKEE, WI 53222
Mailing Phone
(877) 407-6537
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2022
Last Update Date
06-28-2022
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

VINNETTA ASHIRAH PAUL RN

Authorized Official Title
OWNER
Authorized Official Phone
(877) 407-6537

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
52D2253316
Facility Type
Other - DIAGNOSTIC LAB
Certificate Effective Date
February 18, 2024
Certificate Expiration Date
February 17, 2026
Laboratory Director
VINNETTA DAWSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prime Express Laboratory Llc 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.
1952057747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102051478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 0 + 5 + 1 + 4 + 7 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1952057747 is valid because the calculated check digit 7 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 1952057747, enumerated in the NPI registry as an "organization" on March 01, 2022

The provider is located at 7607 W Townsend St Ste 105 Milwaukee, Wi 53222 and the phone number is (877) 407-6537

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider's CLIA number is 52D2253316 for a "other - diagnostic lab" 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 March 01, 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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