Active NPI
Kyia Burks Lankford
- Phlebotomy Technician
- Minneapolis, MN
National Provider Identifier
1417655945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Phlebotomy Technician
- Minneapolis, MN
- NPI 1871291302
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.