Mako Medical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAKO MEDICAL LABORATORIES, LLC

Practice address

315 Inverness Way S Ste 110
Englewood, CO 80112-5801

Phone

(919) 351-6256

Fax

(919) 882-9211

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Ryan Arant

Title

Coo

Phone

(704) 517-4245

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mako Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Raleigh, NC
  • NPI 1134538713

  7416271630

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mako Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Raleigh, NC
  • NPI 1134538713

  O20230719002010

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Mako Med Labs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mako Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Draper, UT
  • NPI 1689543548
  NPD tax ID

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Circulogene Theranostics, Inc.

  dba Circulogene

  • Clinical Medical Laboratory
  • Pensacola, FL
  • NPI 1780308262

  Member Of

  NPD member
• Gene Tox Worldwide LLC

  • Clinical Medical Laboratory
  • Lyndhurst, NJ
  • NPI 1134588817

  Member Of

  NPD member
• Prime Labs LLC

  • Clinical Medical Laboratory
  • South Jordan, UT
  • NPI 1639769953

  Member Of

  NPD member

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1932981529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GLENWOOD AVE STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123820",
            "telephone_number": "919-351-6256",
            "fax_number": "919-882-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 INVERNESS WAY S STE 110",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125801",
            "telephone_number": "919-351-6256",
            "fax_number": "919-882-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKO MEDICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "ARANT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-517-4245"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "06D2283224",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omnia Mahmoud
• Rhae Ellen Majerowski, D.C.
• Courtney Jeanne Majewski, FNP-BC
• Kimberley Breanna Makela, MSW
• Michael Makley, M.D.
• Laura L. Malatchi, OTR
• Eric Malden, M.D.
• Mahnoor Hasan Malik, M.D.
• Malka Medical PC
• Brooke Ashley Malloy, DPT

• Clinical Medical Laboratory in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.