Organization Active NPI

5 Star Mobile Labs LLC

  • Phlebotomy Technician
  • Minneapolis, MN
National Provider Identifier
1871291302
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
5 STAR MOBILE LABS LLC
Practice address
2112 Broadway St NE Ste 225
Minneapolis, MN 55413-3081
Phone
(763) 957-9056
Fax
(612) 643-9336
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Kyia Burks-LankfordNPI 1417655945
Title
Ceo
Phone
(763) 957-9056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X NU Primary

Addresses

Primary practice location

2112 Broadway St NE Ste 225
Minneapolis, MN 55413-3081

Mailing address

2112 Broadway St NE Ste 225
Minneapolis, MN 55413-3081
Phone (763) 957-9056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1871291302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST NE STE 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133081",
            "telephone_number": "763-957-9056",
            "fax_number": "612-643-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST NE STE 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133081",
            "telephone_number": "763-957-9056",
            "fax_number": "612-643-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BURKS-LANKFORD",
        "authorized_official_first_name": "KYIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-957-9056"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.