Active NPI
Kalm Kare Mobile Labs
- Phlebotomy Technician
- Goshen, IN
National Provider Identifier
1316795479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- KALM KARE MOBILE LABS
- Practice address
- 4024 Elkhart Rd
Goshen, IN 46526-5807 - Phone
- (574) 366-2023
- NPI assigned
- May 13, 2024
- 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
- Keshia Bates, CPT
- Title
- Owner/Employee
- Phone
- (574) 366-2023
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
4024 Elkhart Rd
Goshen, IN 46526-5807
Mailing address
4024 Elkhart Rd
Goshen, IN 46526-5807
Phone (574) 366-2023
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2304982 | Kalm Kare Mobile Labs LLC | Certificate of waiver | May 21, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1715558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1316795479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 ELKHART RD",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265807",
"telephone_number": "574-366-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 ELKHART RD",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265807",
"telephone_number": "574-366-2023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALM KARE MOBILE LABS",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-13",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "KESHIA",
"authorized_official_title_or_position": "OWNER/EMPLOYEE",
"authorized_official_telephone_number": "574-366-2023",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.