K Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

K LABORATORY LLC

Practice address

17901 Governors Hwy Ste 204
Homewood, IL 60430-1146

Phone

(773) 392-2901

Fax

(773) 439-2838

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Fourte

Title

Ceo/Membrer

Phone

(773) 392-2901

Specialties & licenses 1

Addresses

Other names 1

• K Laboratory LLC Former legal business name

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1831842434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 TIENSTRA CT",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301352",
            "telephone_number": "773-392-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301146",
            "telephone_number": "773-392-2901",
            "fax_number": "773-439-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "FOURTE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/MEMBRER",
        "authorized_official_telephone_number": "773-392-2901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K Laboratory LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Danielle Jones
• Emily E Jones, PHARMD
• Krystini Jones, PHARMD, RPH
• Maryleen K Jones, PT
• Reginae Jordan
• Robert C Kaiser, M.D.
• Kristin M Kapinus, PT
• Sandy Ellen Kauffman, DDS
• Emalee B. Kay, LCPC, ATR-BC
• Lila Kayali

• Clinical Medical Laboratory in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.