Organization Active NPI

Specimen Collection Services LLC

  • Home Health Agency
  • Newark, DE
National Provider Identifier
1790068088
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPECIMEN COLLECTION SERVICES LLC
Doing business as
Specimen Collection Services
Practice address
64 W Kyla Marie Dr
Newark, DE 19702-5432
Phone
(302) 561-1166
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Aaron Johnson Sr.
Title
Sole Member LLC
Phone
(302) 561-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

64 W Kyla Marie Dr
Newark, DE 19702-5432

Mailing address

64 W Kyla Marie Dr
Newark, DE 19702-5432

Other names 1

  • Specimen Collection Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1790068088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W KYLA MARIE DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 W KYLA MARIE DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025432",
            "telephone_number": "302-561-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIMEN COLLECTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "SOLE MEMBER LLC",
        "authorized_official_telephone_number": "302-561-1166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specimen Collection Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.