Katherine Mobile Urine Collections and Processing Services

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

KATHERINE MOBILE URINE COLLECTIONS AND PROCESSING SERVICES

Doing business as

Mobile Specimen Collection Services LLC

Practice address

131 Lakeland Ave
Moore, SC 29369-9799

Phone

(864) 384-6392

Fax

(864) 256-3155

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Burriss, LAB OWNERNPI 1275284184

Title

Ceo

Phone

(864) 384-6392

Specialties & licenses 1

Addresses

Other names 1

• Mobile Specimen Collection Services LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Elizabeth Burriss

  • Nurse's Aide
  • Moore, SC
  • NPI 1275284184
  NPD Authorized official

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1437800257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LAKELAND AVE",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699799",
            "telephone_number": "864-384-6392",
            "fax_number": "864-256-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LAKELAND AVE",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699799",
            "telephone_number": "864-384-6392",
            "fax_number": "864-256-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MOBILE URINE COLLECTIONS AND PROCESSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "BURRISS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-384-6392",
        "authorized_official_credential": "LAB OWNER"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Specimen Collection Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Reid Jansen
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• Mackenzie Grace Jones
• Priscilla Hennecy Jostes, MA, LPC
• Susan B. Keith, R.N.
• Jenna Danean Kenney
• Caitlin Kremer, DPT
• Charlita D Lattimore
• Mykia Leake

• Attendant Care Provider in Moore, SC
• Providers in Moore, SC by specialty
• Attendant Care Provider in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.