Active NPI
Lakeevra Butler
- Clinical Medical Laboratory
- Jonesboro, GA
National Provider Identifier
1598516288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 240 N Main St.
Ste a
Jonesboro, GA 30236 - Phone
- (770) 597-0697
- NPI assigned
- Mar 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
240 N Main St.
Ste a
Jonesboro, GA 30236
Mailing address
25 Still Waters Dr
Covington, GA 30016-2984
Phone (770) 597-0697
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1598516288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 STILL WATERS DR",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300162984",
"telephone_number": "770-597-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N MAIN ST.",
"address_2": "STE A",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-597-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "LAKEEVRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
- Business & Technology Outreach Corporation
- Business Management Consultants, LLC
- Business Management Consultants, LLC
- Business Management Consultants, LLC
- Business Management Consulting,LLC
- Cynthia Buttler, MS, OTR/L
- Ruby Butts
- C & J Medical Supplies
- Chishaunna Calhoun, RN
- Adriana Laneisa Callens, BSN, RN, CPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.