Organization Active NPI

K One Laboratory LLC

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1679277610
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
K ONE LABORATORY LLC
Practice address
1502 W Busch Blvd Ste a
Tampa, FL 33612-7668
Phone
(813) 493-3031
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Kieyatta HarrisNPI 1639873672
Title
Owner
Phone
(813) 493-3031

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

1502 W Busch Blvd Ste a
Tampa, FL 33612-7668

Mailing address

1502 W Busch Blvd Ste a
Tampa, FL 33612-7668

National Provider Directory

National Provider Directory

Locations

1502 W Busch Blvd
Ste A
Tampa, FL 33612
Phone (813) 493-3031

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1679277610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W BUSCH BLVD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W BUSCH BLVD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127668",
            "telephone_number": "813-493-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K ONE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KIEYATTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-493-3031"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.