Organization Active NPI

Keis Testing, LLC

  • Phlebotomy Technician
  • Vidalia, GA
National Provider Identifier
1245999580
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
KEIS TESTING, LLC
Doing business as
Keis Testing, LLC
Practice address
506 Donovan St
Vidalia, GA 30474-3149
Phone
(912) 386-1011
Fax
(912) 386-4743
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Authorized official

Name
Thenelle Faison
Title
Owner
Phone
(912) 386-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

506 Donovan St
Vidalia, GA 30474-3149

Mailing address

506 Donovan St
Vidalia, GA 30474-3149
Phone (912) 386-1011

Other names 1

  • Keis Testing, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

506 Donovan St
Vidalia, GA 30474
Phone (912) 386-1011

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1245999580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 DONOVAN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743149",
            "telephone_number": "912-386-1011",
            "fax_number": "912-386-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 DONOVAN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743149",
            "telephone_number": "912-386-1011",
            "fax_number": "912-386-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIS TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "THENELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-386-1101"
    },
    "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": "Keis Testing, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keis Testing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.