Keela Essential LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

KEELA ESSENTIAL LLC

Practice address

7191 W Oakland Park Blvd
Lauderhill, FL 33313-1050

Phone

(954) 588-2557

Fax

(954) 807-3870

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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

Shequilia Parker, PHLEBOTOMIST CENPI 1083479273

Title

Owner

Phone

(954) 588-2557

Specialties & licenses 1

Addresses

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.

• Shequilia Parker, MEDICAL ASSISTANT

  • Phlebotomy Technician
  • Lauderhill, FL
  • NPI 1083479273
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1679349328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131050",
            "telephone_number": "954-588-2557",
            "fax_number": "954-807-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131050",
            "telephone_number": "954-588-2557",
            "fax_number": "954-807-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELA ESSENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHEQUILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-588-2557",
        "authorized_official_credential": "PHLEBOTOMIST  CE"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.