Organization Active NPI

C&K Enterprise LLC

  • Clinical Medical Laboratory
  • Palm Beach Gardens, FL
National Provider Identifier
1871910299
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
C&K ENTERPRISE LLC
Practice address
3332 Meridian Way N
Unit D
Palm Beach Gardens, FL 33410-5043
Phone
(561) 251-6120
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Michael Carlson
Title
Owner
Phone
(561) 251-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3332 Meridian Way N
Unit D
Palm Beach Gardens, FL 33410-5043

Mailing address

3332 Meridian Way N
Unit D
Palm Beach Gardens, FL 33410-5043
Phone (561) 251-6120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1871910299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 MERIDIAN WAY N",
            "address_2": "UNIT D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105043",
            "telephone_number": "561-251-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 MERIDIAN WAY N",
            "address_2": "UNIT D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105043",
            "telephone_number": "561-251-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&K ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-251-6120"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.