Organization Active NPI

MCK JLM

  • Urgent Care Clinic/Center
  • Naples, FL
National Provider Identifier
1922684265
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MCK JLM
Practice address
2614 Tamiami TRL N Unit 225
Naples, FL 34103-4409
Phone
(239) 262-3644
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Min Kim
Title
Owner
Phone
(239) 262-3644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2614 Tamiami TRL N Unit 225
Naples, FL 34103-4409

Mailing address

2614 Tamiami TRL N Unit 225
Naples, FL 34103-4409

Other names 1

  • MCK JLM LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2614 Tamiami Trl N
Naples, FL 34103
Phone (239) 262-3644

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1922684265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 TAMIAMI TRL N UNIT 225",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 TAMIAMI TRL N UNIT 225",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034409",
            "telephone_number": "239-262-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCK JLM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-262-3644"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCK JLM LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCK JLM LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.