K&S Clinical Diagnostics Consulting Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

11D2053177 Issued in GA

Legal business name

K&S CLINICAL DIAGNOSTICS CONSULTING SERVICES, LLC

Practice address

1995 N Park PL SE Ste 205
Atlanta, GA 30339

Phone

(678) 608-2468

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Maged Awad, BS, PHD, MD

Title

Chief Med Officer

Phone

(678) 584-3755

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1891135299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 N PARK PL SE STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392023",
            "telephone_number": "404-975-0262",
            "fax_number": "404-975-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 N PARK PL SE STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "678-608-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5607 Glenridge Drive",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "404-975-0262",
            "fax_number": "404-975-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Glenridge Drive",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "404-975-0262",
            "fax_number": "404-975-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K&S CLINICAL DIAGNOSTICS CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "CHIEF MED OFFICER",
        "authorized_official_telephone_number": "678-584-3755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, PHD, MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D2053177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyc Testing & Diagnostics
• K & C Abundant Home Care LLC
• K & L Cardiovascular
• K.S. Healthcare, Inc.
• K&N Compression Therapy Services, LLC
• Christine Kaba, MD
• Samer Kaba, MD
• Kamal C Kabakibou, M.D.
• Noor Kabakibou
• Chidinma Dawn Kabba, M.D

• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.