NPIMap

Organization Active NPI

Justkam Quick Stick Lab

  • Phlebotomy Technician
  • El Dorado, AR
National Provider Identifier
1013679992
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
JUSTKAM QUICK STICK LAB
Practice address
1235 W Hillsboro St
El Dorado, AR 71730-6911
Phone
(510) 593-9110
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kamea BurgieNPI 1598427478
Title
Owner
Phone
(870) 260-7990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

1235 W Hillsboro St
El Dorado, AR 71730-6911

Mailing address

1235 W Hillsboro St
El Dorado, AR 71730-6911
Phone (510) 593-9110

National Provider Directory

National Provider Directory

Locations

3768 Moro Bay Hwy
El Dorado, AR 71730

1235 W Hillsboro St
El Dorado, AR 71730
Phone (510) 593-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1013679992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306911",
            "telephone_number": "510-593-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306911",
            "telephone_number": "510-593-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTKAM QUICK STICK LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "BURGIE",
        "authorized_official_first_name": "KAMEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-260-7990"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.