Individual provider Active NPI

Kyia Burks Lankford

  • Phlebotomy Technician
  • Minneapolis, MN
National Provider Identifier
1417655945
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
2112 Broadway St NE Ste 225
Minneapolis, MN 55413-3081
Phone
(612) 643-9336
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

2112 Broadway St NE Ste 225
Minneapolis, MN 55413-3081

Mailing address

2112 Broadway St NE Ste 225
Minneapolis, MN 55413-3081
Phone (612) 643-9336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
5 Star Mobile Labs LLC Phlebotomy Current Accepting new patients

Locations

2112 Broadway St NE
Ste 225
Minneapolis, MN 55413
Phone (301) 254-6807

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1417655945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST NE STE 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133081",
            "telephone_number": "612-643-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST NE STE 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133081",
            "telephone_number": "612-643-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS LANKFORD",
        "first_name": "KYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.