Skreen Pro Solutions LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SKREEN PRO SOLUTIONS LLC

Practice address

830 W Wilson Dr
Kankakee, IL 60901-2255

Phone

(779) 221-2396

Fax

(779) 201-6530

NPI assigned

Sep 18, 2026

Organization subpart

No

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

Authorized official

Name

Kim DavisNPI 1215720016

Title

Ceo

Phone

(779) 221-2396

Specialties & licenses 1

Addresses

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.

• Kim Marie Davis

  • Phlebotomy Technician
  • Kankakee, IL
  • NPI 1215720016
  Authorized official Same address or phone

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1578475174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W WILSON DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012255",
            "telephone_number": "779-221-2396",
            "fax_number": "779-201-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W WILSON DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012255",
            "telephone_number": "779-221-2396",
            "fax_number": "779-201-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKREEN PRO SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "779-221-2396"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Wu MD LTD
• James John Simone, PSY.D.
• Heather Eileen Simpson
• Sasha Singh, DO
• Emily Skelly
• Joel N Slutsky, MD
• Smart Port Care LLC
• Kenna J Smicker, COTA/L
• Eva Danielle Smith, LCPC
• Margo Smith

• Phlebotomy Technician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.