Kenside Medical Services

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT29004 Issued in CA

Legal business name

KENSIDE MEDICAL SERVICES

Practice address

4833 10TH Ave
Los Angeles, CA 90043-4810

Phone

(213) 220-5613

Fax

(323) 375-3217

NPI assigned

Oct 13, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Akena H Scotland, NCPT

Title

Licenced Phlebotomist/Owner

Phone

(213) 220-5613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1083866891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 10TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434810",
            "telephone_number": "213-220-5613",
            "fax_number": "323-375-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 10TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434810",
            "telephone_number": "213-220-5613",
            "fax_number": "323-375-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSIDE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "SCOTLAND",
        "authorized_official_first_name": "AKENA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LICENCED PHLEBOTOMIST/OWNER",
        "authorized_official_telephone_number": "213-220-5613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT29004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Kenney
• Peter Kenney
• Sara Katherine Kenney, L.C.S.W.
• Miracle Kennon
• Marlon Kenoly
• Kent Pharmacy Inc
• Courtney Kent, LCSW
• Dolores Ruth Kent, M.D.
• Rachel Ogawa Kent, OTR/L
• Keith Glenn Kenworthy, LVN,PHLEBOTOMIST

• Phlebotomy Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.