Individual provider Active NPI

Laura Theophilia Kuras, MLS, MT

  • Medical Technologist
  • Fort Myers, FL
National Provider Identifier
1548509029
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
TN 18936 Issued in FL
Practice address
5030 Mason Corbin CT
Ste B
Fort Myers, FL 33907-4548
Phone
(239) 278-0330
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X TN 18936 FL Primary

Addresses

Primary practice location

5030 Mason Corbin CT
Ste B
Fort Myers, FL 33907-4548

Mailing address

12551 Equestrian Cir
#703
Fort Myers, FL 33907-7555
Phone (941) 391-1320

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
TN 18936FLMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Primary Healthcare Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1548509029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12551 EQUESTRIAN CIR",
            "address_2": "#703",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077555",
            "telephone_number": "941-391-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 MASON CORBIN CT",
            "address_2": "STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074548",
            "telephone_number": "239-278-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAS",
        "first_name": "LAURA",
        "middle_name": "THEOPHILIA",
        "credential": "MLS, MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN 18936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.