Provider Demographics
NPI:1871245738
Name:MKB SOLUTIONS LLC
Entity Type:Organization
Organization Name:MKB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KESEYA
Authorized Official - Middle Name:KEMYADA
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:800-536-0774
Mailing Address - Street 1:2708 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-2152
Mailing Address - Country:US
Mailing Address - Phone:800-536-0774
Mailing Address - Fax:817-549-7775
Practice Address - Street 1:5012 URBAN CREST RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2833
Practice Address - Country:US
Practice Address - Phone:800-536-0774
Practice Address - Fax:817-549-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory