JK Island Labs LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JK ISLAND LABS LLC

Practice address

3120 Southwest Fwy
Houston, TX 77098-4509

Phone

(800) 805-1220

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Kennedi L Davis

Title

Specimen Collector

Phone

(713) 876-1644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1780449561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 HOLLY HALL ST APT 1605",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544168",
            "telephone_number": "713-876-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984509",
            "telephone_number": "800-805-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK ISLAND LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNEDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPECIMEN COLLECTOR",
        "authorized_official_telephone_number": "713-876-1644"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.