Southern Kentucky Mobile Medical Services

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SOUTHERN KENTUCKY MOBILE MEDICAL SERVICES

Practice address

746 Steeplechase Way
Bowling Green, KY 42103-7990

Phone

(270) 780-6250

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Meredith T Howard, CCMA

Title

Ceo

Phone

(270) 780-6250

Specialties & licenses 1

Addresses

Other names 1

• SOKY MMS Doing business as

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1750972733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 STEEPLECHASE WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037990",
            "telephone_number": "270-780-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 STEEPLECHASE WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037990",
            "telephone_number": "270-780-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN KENTUCKY MOBILE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-780-6250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOKY MMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Virginia South I, PHARM.D.
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• Phlebotomy Technician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Phlebotomy Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.