Labrover

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

LABROVER

Practice address

2243 Tamara Rd NW
Kalkaska, MI 49646-8941

Phone

(269) 830-7945

NPI assigned

Jun 5, 2020

Last updated

Sep 7, 2020By 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

Darrell Boger, MLS

Title

Ceo

Phone

(231) 886-8898

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1093339970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 TAMARA RD NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468941",
            "telephone_number": "231-886-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 TAMARA RD NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468941",
            "telephone_number": "269-830-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABROVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "BOGER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-886-8898",
        "authorized_official_credential": "MLS"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Jean Ketchum, LMT
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• Carri Rene Latta, MA, LLPC
• Alicia Ann Layman
• Kathleen Marie Leahy, OD
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• Life's Work Clinic, PLLC

• Phlebotomy Technician in Kalkaska, MI
• Providers in Kalkaska, MI by specialty
• Phlebotomy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.