K G a Phlebotomist, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

K G A PHLEBOTOMIST, INC

Practice address

10714 S Roberts Rd Ste C
Palos Hills, IL 60465-2314

Phone

(815) 616-2906

NPI assigned

Sep 29, 2013

Organization subpart

No

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

Authorized official

Name

Rohit Kumar

Title

President

Phone

(815) 616-2906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Frank Howard Parker, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Matteson, IL
  • NPI 1457388928
  NPD

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1235566753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 S ROBERTS RD STE C",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652314",
            "telephone_number": "815-616-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 S ROBERTS RD STE C",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652314",
            "telephone_number": "815-616-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K G A PHLEBOTOMIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-29",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-616-2906"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Yvette Jackson
• Ausra Januseviciute, L.AC.
• Crystal D Jee, MA, LMFT
• Mari C Jozenes
• Just Good Care Home Health Inc.
• Maya Karam, NP
• Chandrarekha Kaza, M.D.
• Kendall Family Dental
• Mohamad Y Khalifeh
• Khan & Zayyad Dental PLLC

• Clinical Medical Laboratory in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.