Active NPI
KDS Mobile Lab Testing LLC
- Clinical Medical Laboratory
- Cooper City, FL
National Provider Identifier
1205571122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- KDS MOBILE LAB TESTING LLC
- Practice address
- 5521 SW 99TH Ave
Cooper City, FL 33328-5705 - Phone
- (863) 313-0378
- Fax
- (866) 926-1067
- NPI assigned
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kaishia Dollar
- Title
- Owner
- Phone
- (786) 624-9693
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5521 SW 99TH Ave
Cooper City, FL 33328-5705
Mailing address
5521 SW 99TH Ave
Cooper City, FL 33328-5705
Phone (863) 313-0378
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cooper City, FL
- NPI 1750032348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1205571122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5521 SW 99TH AVE",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285705",
"telephone_number": "863-313-0378",
"fax_number": "866-926-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5521 SW 99TH AVE",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285705",
"telephone_number": "863-313-0378",
"fax_number": "866-926-1067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KDS MOBILE LAB TESTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "DOLLAR",
"authorized_official_first_name": "KAISHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-624-9693",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.