Ez Tubz LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

EZ TUBZ LLC

Practice address

2207 Crums LN
Louisville, KY 40216-4253

Phone

(502) 290-5248

NPI assigned

May 20, 2014

Last updated

May 20, 2014By 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

Mrs. Roshon Renee Blakey, COUNSEL

Title

Owner

Phone

(502) 290-5248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1780096180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164253",
            "telephone_number": "502-290-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164253",
            "telephone_number": "502-290-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ TUBZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "BLAKEY",
        "authorized_official_first_name": "ROSHON",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-290-5248",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COUNSEL"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Louisville, KY
• Providers in Louisville, KY by specialty
• Preferred Provider Organization in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.