Active NPI
Mako Medical Laboratories, LLC
- Clinical Medical Laboratory
- Lexington, KY
National Provider Identifier
1295517068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MAKO MEDICAL LABORATORIES, LLC
- Practice address
- 2277 Thunderstick Dr
Lexington, KY 40505-9002 - Phone
- (919) 351-6256
- Fax
- (919) 882-9211
- NPI assigned
- Oct 17, 2023
- Last updated
- Oct 17, 2023
- 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
- Joshua Ryan Arant
- Title
- Coo
- Phone
- (704) 517-4245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2277 Thunderstick Dr
Lexington, KY 40505-9002
Mailing address
4901 Glenwood Ave Ste 300
Raleigh, NC 27612-3820
Phone (919) 351-6256
National Provider Directory
National Provider DirectoryLocations
4901 Glenwood Ave
Ste 300
Raleigh, NC 27612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1295517068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 GLENWOOD AVE STE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123820",
"telephone_number": "919-351-6256",
"fax_number": "919-351-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 THUNDERSTICK DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405059002",
"telephone_number": "919-351-6256",
"fax_number": "919-882-9211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKO MEDICAL LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "ARANT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "704-517-4245"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.