Provider Demographics
NPI:1720655830
Name:K'S MEDICAL STAFFING LLC
Entity Type:Organization
Organization Name:K'S MEDICAL STAFFING LLC
Other - Org Name:L & K MOBILE LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LASHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:318-228-2009
Mailing Address - Street 1:1243 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3024
Mailing Address - Country:US
Mailing Address - Phone:318-228-2009
Mailing Address - Fax:888-744-7489
Practice Address - Street 1:1243 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3024
Practice Address - Country:US
Practice Address - Phone:318-228-2009
Practice Address - Fax:888-744-7489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No291U00000XLaboratoriesClinical Medical Laboratory