Organization Active NPI

RK Clinical Solutions LLC

  • Clinical Medical Laboratory
  • Tempe, AZ
National Provider Identifier
1194116012
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RK CLINICAL SOLUTIONS LLC
Practice address
1145 W Fairmont Dr
Tempe, AZ 85282-1190
Phone
(480) 275-2446
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Kelly Nelson
Title
Chief Executive Officer
Phone
(480) 290-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X AZ Primary

Addresses

Primary practice location

1145 W Fairmont Dr
Tempe, AZ 85282-1190

Mailing address

1145 W Fairmont Dr
Tempe, AZ 85282-1190
Phone (480) 275-2446

Other identifiers 1

IdentifierTypeStateIssuer
025263MedicaidAZ

National Provider Directory

National Provider Directory

Locations

145 S 79th St
Ste 30
Chandler, AZ 85226
Phone (480) 275-2446

1145 W Fairmont Dr
Tempe, AZ 85282
Phone (480) 275-2446

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1194116012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W FAIRMONT DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821190",
            "telephone_number": "480-275-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W FAIRMONT DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821190",
            "telephone_number": "480-275-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RK CLINICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-290-5660"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025263",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.