IVERSON GENETIC DIAGNOSTICS INC
NPI 1992998157
Clinical Medical Laboratory in Charleston, SC

NPI Status: Active since August 21, 2007

Contact Information

645 MEETING STREET
CHARLESTON, SC
ZIP 29403
Phone: (843) 789-5912
Fax: (888) 909-9784

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance

About IVERSON GENETIC DIAGNOSTICS INC

This page provides the complete NPI Profile along with additional information for Iverson Genetic Diagnostics Inc, a provider established in Charleston, South Carolina operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1992998157 assigned on August 2007. The practitioner's primary taxonomy code is 291U00000X with license number MTSC.FS.600017885 (WA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Iverson Genetic Diagnostics Inc. The authorized official of this NPI record is Mr. Joseph Clouse (Ceo)

NPI
1992998157
Provider Legal Name
IVERSON GENETIC DIAGNOSTICS, INC.
Other Organization Name
IVERSON GENETIC DIAGNOSTICS INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
645 MEETING STREET CHARLESTON, SC 29403
Location Phone
(843) 789-5912
Location Fax
(888) 909-9784
Mailing Address
645 MEETING STREET CHARLESTON, SC 29403
Mailing Phone
(843) 789-5912
Mailing Fax
(888) 909-9784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2007
Last Update Date
11-02-2016
Code Navigator

Establishments like Iverson Genetic Diagnostics Inc 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.
MTSC.FS.600017885
License State
WA
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)
1291U00000XLaboratories

Clinical Medical Laboratory

MTS-5156 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JOSEPH CLOUSE

Authorized Official Title
CEO
Authorized Official Phone
(720) 284-7526

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50D1072592OTHER (01)WACLIA #
50D1083740OTHER (01)WACLIA
7141252MEDICAID (05)WA 
G8873736MEDICARE UPIN (02)WA 

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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.
1992998157
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918218916110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 8 + 9 + 1 + 6 + 1 + 1 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1992998157 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 1992998157, enumerated in the NPI registry as an "organization" on August 21, 2007

The provider is located at 645 Meeting Street Charleston, Sc 29403 and the phone number is (843) 789-5912

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

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 21, 2007. 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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