Organization Active NPI

Makana Diagnostics, LLC

  • Clinical Medical Laboratory
  • Jupiter, FL
National Provider Identifier
1356875009
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MAKANA DIAGNOSTICS, LLC
Practice address
555 Heritage Dr
Suite 170
Jupiter, FL 33458-5285
Phone
(512) 779-9923
Fax
(512) 278-4553
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Mrs. Marsha G Stone
Title
Ceo
Phone
(512) 779-9923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

555 Heritage Dr
Suite 170
Jupiter, FL 33458-5285

Mailing address

11503 Parsons Rd
Manor, TX 78653-5220
Phone (512) 278-4550

National Provider Directory

National Provider Directory

Locations

555 Heritage Dr
Ste 170
Jupiter, FL 33458
Phone (512) 779-9923

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1356875009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "512-278-4550",
            "fax_number": "512-278-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR",
            "address_2": "SUITE 170",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585285",
            "telephone_number": "512-779-9923",
            "fax_number": "512-278-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKANA DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-779-9923",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.