Organization Active NPI

KMK Transportation LLC

Doing business as KMK Trans Screening

  • Clinical Medical Laboratory
  • Suwanee, GA
National Provider Identifier
1558016899
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KMK TRANSPORTATION LLC
Doing business as
KMK Trans Screening
Practice address
2133 Lawrenceville Suwanee Rd Ste 428
Suwanee, GA 30024-2648
Phone
(770) 377-9548
NPI assigned
Feb 15, 2022
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Ms. Kimberly MoutonNPI 1992268346
Title
Administrator
Phone
(770) 377-9548

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2133 Lawrenceville Suwanee Rd Ste 428
Suwanee, GA 30024-2648

Mailing address

2133 Lawrenceville Suwanee Rd Ste 428
Suwanee, GA 30024-2648
Phone (770) 377-9548

Other names 1

  • KMK TRANS SCREENING 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": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1558016899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 LAWRENCEVILLE SUWANEE RD STE 428",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242648",
            "telephone_number": "770-377-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 LAWRENCEVILLE SUWANEE RD STE 428",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242648",
            "telephone_number": "770-377-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMK TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "MOUTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-377-9548",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMK TRANS SCREENING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.