Prime Time Medical Training, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRIME TIME MEDICAL TRAINING, LLC

Practice address

1342 81St Ave NE
Spring Lake Park, MN 55432-2116

Phone

(952) 563-9901

Fax

(612) 437-4733

NPI assigned

Feb 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Luvessie Knox, RNNPI 1821682188

Title

Ceo

Phone

(952) 563-9901

Specialties & licenses 1

Addresses

Other names 2

• Prime Time Medical Training Doing business as
• Swab Time Labs Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luvessie Rhonnette Knox, NP

  • Family Nurse Practitioner
  • New Hope, MN
  • NPI 1821682188
  NPD Authorized official

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1649926718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 81ST AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322116",
            "telephone_number": "952-563-9901",
            "fax_number": "612-437-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 81ST AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322116",
            "telephone_number": "952-563-9901",
            "fax_number": "612-437-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TIME MEDICAL TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "LUVESSIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-563-9901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Time Medical Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swab Time Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Spring Lake Park, MN
• Providers in Spring Lake Park, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.