Mako Laboratory Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAKO LABORATORY SERVICES LLC

Practice address

729 S Neosho Blvd
Neosho, MO 64850-6485

Phone

(417) 346-1400

Fax

(417) 346-1401

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Bradly W Bradford

Title

Owner

Phone

(417) 439-2203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1154030765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "64850",
            "telephone_number": "417-346-1400",
            "fax_number": "417-346-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648506485",
            "telephone_number": "417-346-1400",
            "fax_number": "417-346-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKO LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "BRADLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-439-2203"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Lutes III, FNP
• Rebecca Jane Macy, LPC
• Samara R Maggard, LMSW
• Peggy R Maher, RPT
• Sherry Maize
• Olivia Manalo
• Satya Harika Manda, M.D
• Marathon Health LLC
• Karen L Marion, BCABA
• Stanley Brent Marion Jr., RPH

• Clinical Medical Laboratory in Neosho, MO
• Providers in Neosho, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.