Organization Active NPI

Aka Professional Services LLC

  • Clinical Medical Laboratory
  • Charlotte, NC
National Provider Identifier
1588317846
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AKA PROFESSIONAL SERVICES LLC
Practice address
836 Larmore Ave
Charlotte, NC 28216-1380
Phone
(336) 267-3364
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Kimberly Miller-McDowellNPI 1255082053
Title
Lab Director
Phone
(336) 267-3364

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

836 Larmore Ave
Charlotte, NC 28216-1380

Mailing address

836 Larmore Ave
Charlotte, NC 28216-1380
Phone (336) 267-3364

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.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1588317846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 LARMORE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161380",
            "telephone_number": "336-267-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 LARMORE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161380",
            "telephone_number": "336-267-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKA PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "MILLER-MCDOWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "336-267-3364"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.