Organization Active NPI

KMD Educational Institute

Doing business as KMDEI Lab Solutions

  • Clinical Medical Laboratory
  • Columbia, SC
National Provider Identifier
1477206506
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KMD EDUCATIONAL INSTITUTE
Doing business as
KMDEI Lab Solutions
Kmdei,LLC
Practice address
1530 Legion Dr
Columbia, SC 29229-9585
Phone
(980) 222-4220
NPI assigned
Jan 29, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Keyshia M. DuboseNPI 1043963176
Title
Ceo
Phone
(980) 222-4220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1530 Legion Dr
Columbia, SC 29229-9585

Mailing address

1530 Legion Dr
Columbia, SC 29229-9585
Phone (980) 222-4220

Other names 2

  • KMDEI Lab Solutions Doing business as
  • KMDEI,LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1477206506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LEGION DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299585",
            "telephone_number": "980-222-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LEGION DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299585",
            "telephone_number": "980-222-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMD EDUCATIONAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "KEYSHIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-222-4220"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMDEI Lab Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KMDEI,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KMDEI,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.