MK Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MK LABS LLC

Practice address

30 Nathan Lane N
Plymouth, MN 55441

Phone

(612) 401-1910

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Mohamed Mohamed

Title

Owner

Phone

(612) 401-1910

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saida Mohamed

  • In Home Supportive Care Agency
  • Minneapolis, MN
  • NPI 1760251243
  NPD

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1447910575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 3RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201217",
            "telephone_number": "612-401-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NATHAN LANE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "612-401-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-401-1910"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mittal Dermatology PA
• Amit Mittal, MD
• Diliana Stoimenova Mittelsteadt, MD
• Pathamas Chantaracherd Mittman, DDS, MS
• Freeman Maral Mjolsness, RPH
• Gabriel Paul Mlodzik, CNP
• Amy Louise Moe, PA
• Kari A Moe, BCBA
• Brooke Renee Moeller
• Jill Marie Moeller

• Clinical Medical Laboratory in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.