Healthcare Provider Details

I. General information

NPI: 1538999065
Provider Name (Legal Business Name): K & N MOBILE LAB SERVICES L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 BURWOOD ST SE
LACEY WA
98503-1817
US

IV. Provider business mailing address

906 BURWOOD ST SE
LACEY WA
98503-1817
US

V. Phone/Fax

Practice location:
  • Phone: 360-951-4396
  • Fax: 360-485-4959
Mailing address:
  • Phone: 360-951-4396
  • Fax: 360-485-4959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: NINA NGUYEN
Title or Position: PHLEBOTOMIST
Credential:
Phone: 360-951-4396