NPIMap

Organization Active NPI

MBK Laboratory

  • Clinical Medical Laboratory
  • Rosedale, MD
National Provider Identifier
1609412402
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MBK LABORATORY
Practice address
1232 Race Rd
Rosedale, MD 21237-2351
Phone
(410) 878-2363
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
John K Ngugi, NPNPI 1245638048
Title
Nurse Practitioner
Phone
(410) 878-2363

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

1232 Race Rd
Rosedale, MD 21237-2351

Mailing address

1232 Race Rd
Rosedale, MD 21237-2351
Phone (410) 878-2363

National Provider Directory

National Provider Directory

Locations

1232 Race Rd
Ste 402
Rosedale, MD 21237
Phone (410) 878-2363

1232 Race Rd
Rosedale, MD 21237
Phone (240) 305-8751

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": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1609412402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372351",
            "telephone_number": "410-878-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372351",
            "telephone_number": "410-878-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBK LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "NGUGI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-878-2363",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.