Organization Active NPI

K&M Testings

Doing business as k&M

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1710638291
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
K&M TESTINGS
Doing business as
KM Testings
k&M
Practice address
1701 E Meadowbrook Ave Apt 346
Phoenix, AZ 85016-5113
Phone
(480) 241-2197
NPI assigned
Jan 16, 2022
Last updated
Mar 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

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 NU Primary

Addresses

Primary practice location

1701 E Meadowbrook Ave Apt 346
Phoenix, AZ 85016-5113

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
104950MedicaidAZ

Other names 2

  • KM TESTINGS Doing business as
  • k&M Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1710638291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E INDIAN SCHOOL RD APT 2119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MEADOWBROOK AVE APT 346",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165113",
            "telephone_number": "480-241-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&M TESTINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104950",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KM TESTINGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "k&M",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.