SOUTH BEND MEDICAL FOUNDATION, INC
NPI 1649241084
Pathology, Anatomic Pathology & Clinical Pathology in South Bend,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

530 N Lafayette Blvd
South Bend,
Post Code: 46601
Phone: (574) 204-5206
Fax: (574) 245-0339

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South Bend Medical Foundation, Inc in South Bend - Pathology, Anatomic Pathology & Clinical Pathology

South Bend Medical Foundation, Inc is a Pathology, Anatomic Pathology & Clinical Pathology in South Bend, . South Bend Medical Foundation, Inc practices all healthcare services and medical treatments related to Pathology, Anatomic Pathology & Clinical Pathology. The NPI Number for South Bend Medical Foundation, Inc is 1649241084. The last update date is 2024-03-15.

South Bend Medical Foundation, Inc's current location address is 530 N Lafayette Blvd, South Bend, . You can contact this provider via phone number (574) 204-5206 and fax number (574) 245-0339. The mailing address for South Bend Medical Foundation, Inc is 530 N Lafayette Blvd, South Bend, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1649241084
Provider Legal Name
SOUTH BEND MEDICAL FOUNDATION, INC
Other Organization Name
SOUTH BEND MEDICAL FOUNDATION, INC
Other Name Type
-
Entity Type
Organization
Location Address
530 N Lafayette Blvd, South Bend,
Location Phone
(574) 204-5206
Location Fax
(574) 245-0339
Mailing Address
530 N Lafayette Blvd, South Bend, Indiana(IN)
Mailing Phone
574-204-5206
Mailing Fax
574-245-0339
Enumeration Date
2006-02-01
Last Update Date
2024-03-15
Code Navigator

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

Pathology, Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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 Clinical Medical Laboratory

Clinical Medical Laboratory

()

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
000000097080 Other (non-Medicare) (01) () Anthem
100112700A MEDICAID (05) Indiana (IN)
169513624 MEDICAID (05) Michigan (MI)
1H1003494 Other (non-Medicare) (01) () Tricare
690164004 Other (non-Medicare) (01) () Railroad Medicare
CB4553 Other (non-Medicare) (01) () Railroad Medicare

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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.
1649241084
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689442016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2689442016
2 + 6 + 8 + 9 + 4 + 4 + 2 + 0 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1649241084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497758429 FORT WAYNE ORTHOPAEDICS LLC
Organization
Orthopaedic Surgery, Hand Surgery PO BOX 2526
FORT WAYNE, Indiana (IN)
260-436-8686
1487657417 DANIEL W CAREY
Individual
Social Worker, Clinical 850 N HARRISON ST
WARSAW, Indiana (IN)
574-267-7169
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1437152469 STEVEN E FISHER
Individual
Orthopaedic Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1417950452 SATTI HOME HEALTH CARE PC
Organization
Home Health 9339 CALUMET AVE
MUNSTER, Indiana (IN)
219-836-8331