K&Mt

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

K&MT

Doing business as

K&M Testing Kmsa
Kmsa

Practice address

411 E Indian School Rd Apt 2119
Phoenix, AZ 85012-1886

Phone

(480) 241-2197

NPI assigned

Feb 21, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda WilsonNPI 1043979214

Title

Owner

Phone

(480) 241-2197

Specialties & licenses 2

Addresses

Other names 2

• K&M TESTING KMSA Doing business as
• Kmsa Doing business as

Tax ID family

KM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K&M Testings

  dba k&M

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1710638291
  NPD tax ID

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.

• Amanda Wilson

  • Clinical Laboratory Director (Non-physician)
  • Phoenix, AZ
  • NPI 1043979214

  Clinical Laboratory Director, Non-Physician

  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1669127379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MEADOWBROOK AVE APT 346",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165113",
            "telephone_number": "480-241-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E INDIAN SCHOOL RD APT 2119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121886",
            "telephone_number": "480-241-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&MT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-241-2197"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K&M TESTING KMSA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "K&M TESTING KMSA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kmsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• K & S Transitional Living LLC
• K E Y S Wellness
• K-9 Edge, LLC
• K&E Behavioral Health
• K&M Testings (k&M)
• Kaaj Pharmacy Inc. (Pulse Pharmacy)
• Jodie Mokihana Kaalekahi, APRN
• Jersey Kaanaana
• Kelsey Jordan Kaba, RBT
• Teana Kabacinski, APN

• Clinical Laboratory Director (Non-physician) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Laboratory Director (Non-physician) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.