Sa-Shiq LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SA-SHIQ LLC

Doing business as

Sa-Shiq LLC

Practice address

3800 Meeting St
Lake Park, NC 28079-6582

Phone

(704) 893-2008

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By 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

Ms. Latoya Sheppard, CMANPI 1508356940

Title

Owner

Phone

(704) 893-2008

Specialties & licenses 1

Addresses

Other names 1

• Sa-Shiq LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latoya I Sheppard

  • Prosthetist
  • Monroe, NC
  • NPI 1508356940
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1174303861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST",
            "city": "LAKE PARK",
            "state": "NC",
            "postal_code": "280796582",
            "telephone_number": "704-893-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST",
            "city": "LAKE PARK",
            "state": "NC",
            "postal_code": "280796582",
            "telephone_number": "704-893-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA-SHIQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-893-2008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sa-Shiq LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Seth Cannon Spencer, MD
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• Phlebotomy Technician in Lake Park, NC
• Providers in Lake Park, NC by specialty
• Phlebotomy Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.