SKAI LAB LLC
NPI 1124787064
Clinical Medical Laboratory in Greensboro, NC

Active since December 08, 2021
5902 LAUREL CREEK CT, GREENSBORO, NC 27405(704) 870-1249 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Skai Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKAI LAB LLC (NPI 1124787064) is a healthcare organization registered as a clinical medical laboratory in Greensboro, North Carolina and active in the NPI registry since December 2021. The organization lists Shakia Watson, Lab Director, as its authorized official.

NPPES Registry Identity

NPI1124787064
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSKAI LAB LLC
Location Address5902 LAUREL CREEK CTGreensboro, NC 27405-8259
Mailing Address5902 Laurel Creek CtGreensboro, NC 27405-8259 · (704) 870-1249
Organization SubpartNo
Authorized OfficialShakia WatsonLab Director · (704) 870-1249
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1124787064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5902 LAUREL CREEK CT, Greensboro, NC 27405

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skai Lab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20220118000957Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skai Lab LLC's NPI number?

The NPI number for Skai Lab LLC is 1124787064. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Skai Lab LLC located?

Skai Lab LLC is located at 5902 Laurel Creek Ct, Greensboro, NC 27405. The listed phone number is (704) 870-1249.

What is Skai Lab LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Skai Lab LLC enrolled in Medicare?

Yes. Skai Lab LLC is registered in the Medicare PECOS enrollment system.

When is Skai Lab LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Mass Immunization (Roster Biller Only)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Skai Lab LLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.