Organization Active NPI

Mka Diagnostic & Medical Services LLC

  • Phlebotomy Technician
  • Tamarac, FL
National Provider Identifier
1225803836
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
MKA DIAGNOSTIC & MEDICAL SERVICES LLC
Practice address
5973 NW 54TH LN
Tamarac, FL 33319-2431
Phone
(954) 682-8792
NPI assigned
Nov 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Miss Monica Effie WilliamsNPI 1114794872
Title
Manager
Phone
(954) 682-8792

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

5973 NW 54TH LN
Tamarac, FL 33319-2431

Mailing address

5973 NW 54TH LN
Tamarac, FL 33319-2431
Phone (954) 682-8792

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1225803836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5973 NW 54TH LN",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192431",
            "telephone_number": "954-682-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 NW 54TH LN",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192431",
            "telephone_number": "954-682-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKA DIAGNOSTIC & MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "EFFIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-682-8792",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.