Individual provider Active NPI

Lakeshia Renee Kennedy

  • Phlebotomy Technician
  • Lauderdale Lakes, FL
National Provider Identifier
1548101686
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
20-0191Y10 Issued in FL
Practice address
3500 N State Road 7 Ste 302
Lauderdale Lakes, FL 33319-5626
Phone
(954) 557-9264
NPI assigned
Apr 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 75768402 FL
Phlebotomy Technician 246RP1900X 20-0191Y10 FL Primary

Addresses

Primary practice location

3500 N State Road 7 Ste 302
Lauderdale Lakes, FL 33319-5626

Mailing address

3500 N State Road 7 Ste 302
Lauderdale Lakes, FL 33319-5626
Phone (954) 557-9264

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

State licenses

LicenseStateTypeSpecialty
20-0191Y10FLMDPhlebotomy Technician
75768402FLMDMulti-Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
CK2 Enterprise Logistics LLC Current Accepting new patients
Thoughts of Hearts LLC Multi-Specialty Current Accepting new patients
Elite Phlebdna Mobile Services, LLC. Phlebotomy Current Accepting new patients

Locations

3500 N State Road 7
Ste 302
Lauderdale Lakes, FL 33319
Phone (954) 557-9264

Organizations & group practices 3

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": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1548101686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7 STE 302",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195626",
            "telephone_number": "954-557-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7 STE 302",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195626",
            "telephone_number": "954-557-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LAKESHIA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "75768402",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "20-0191Y10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.