Organization Active NPI

Mako Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Draper, UT
National Provider Identifier
1689543548
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MAKO MEDICAL LABORATORIES, LLC
Practice address
12351 S Gateway Park PL Ste D600
Draper, UT 84020-9581
Phone
(801) 893-2773
Fax
(919) 301-8188
NPI assigned
Oct 30, 2025
Organization subpart
Yes
Parent organization
MAKO MEDICAL LABORATORIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Joshua Ryan Arant
Title
Managing Member
Phone
(704) 517-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12351 S Gateway Park PL Ste D600
Draper, UT 84020-9581

Mailing address

4901 Glenwood Ave Ste 300
Raleigh, NC 27612-3820
Phone (919) 351-6256

National Provider Directory

National Provider Directory
Tax ID family
Mako Med Labs LLC2 organizations share this tax ID, including this one
Part of
Mako Med Labs LLC

Other organizations with this tax ID 1

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

Locations

4901 Glenwood Ave
Ste 300
Raleigh, NC 27612

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1689543548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GLENWOOD AVE STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123820",
            "telephone_number": "919-351-6256",
            "fax_number": "919-301-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 S GATEWAY PARK PL STE D600",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209581",
            "telephone_number": "801-893-2773",
            "fax_number": "919-301-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKO MEDICAL LABORATORIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAKO MEDICAL LABORATORIES, LLC",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "ARANT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-517-4245"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.