Individual provider Active NPI

David Michael Korkowski, MLT (ASCP)

  • Clinical Laboratory Director (Non-physician)
  • Poplar, MT
National Provider Identifier
1710311659
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Practice address
107 H Street East
Poplar, MT 59255-0067
Phone
(406) 768-3491
Fax
(406) 768-3435
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X Primary

Addresses

Primary practice location

107 H Street East
Poplar, MT 59255-0067

Mailing address

107 H Street East
Poplar, MT 59255-0067
Phone (406) 768-3491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1710311659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 H STREET EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592550067",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H STREET EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592550067",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKOWSKI",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MLT (ASCP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.