Skai Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SKAI LAB LLC

Practice address

5902 Laurel Creek CT
Greensboro, NC 27405-8259

Phone

(704) 870-1249

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Shakia Watson

Title

Lab Director

Phone

(704) 870-1249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1124787064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 LAUREL CREEK CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058259",
            "telephone_number": "704-870-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 LAUREL CREEK CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058259",
            "telephone_number": "704-870-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAI LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHAKIA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "704-870-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Sitzman, NP
• Deborah L Sivret, PT
• Sixberry Counseling Services
• Matthew O Sixberry
• SJV Greensboro Opco LLC
• Mark Skains, M.D.
• Austin Cole Skakle, D.O.
• Alicia Aston Skelton, CCC-SLP
• Janie U Skertich
• Michael James Skertich

• Clinical Medical Laboratory in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.