Organization Active NPI

Mako Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Lexington, KY
National Provider Identifier
1295517068
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
18D2200531OtherKYCLIA

National Provider Directory

National Provider Directory

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D2200531",
            "state": "KY"
        }
    ],
    "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.

Verify at the official NPI Registry.