KK&J MEDICAL DIAGNOSTIC LLC
NPI 1699536722
Licensed Practical Nurse in Jacksonville, FL
NPI Status: Active since January 16, 2024
Contact Information
6625 ARGYLE FOREST BLVD STE 4
JACKSONVILLE, FL
ZIP 32244
Phone: (803) 613-4191
- Organization
- Licensed Practical Nurse
- CLIA Number: 10D2306895
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 06-25-2026
About KK&J MEDICAL DIAGNOSTIC LLC
This page provides the complete NPI Profile along with additional information for Kk&j Medical Diagnostic Llc, a provider established in Jacksonville, Florida operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1699536722 assigned on January 2024. The practitioner's primary taxonomy code is 164W00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Kk&j Medical Diagnostic Llc. The authorized official of this NPI record is Jasmine D Brown Lpn (Owner)
- NPI
- 1699536722
- Provider Legal Name
- KK&J MEDICAL DIAGNOSTICS LLC
- Other Organization Name
- KK&J MEDICAL DIAGNOSTIC LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6625 ARGYLE FOREST BLVD STE 4 JACKSONVILLE, FL 32244
- Location Phone
- (803) 613-4191
- Mailing Address
- 6625 ARGYLE FOREST BLVD STE 4 JACKSONVILLE, FL 32244
- Mailing Phone
- (904) 862-1944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2024
- Last Update Date
- 04-26-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2306895
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- June 26, 2024
- Certificate Expiration Date
- June 25, 2026
- Laboratory Director
- JASMINE BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kk&j Medical Diagnostic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699536722, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32244
JACKSONVILLE, FL 32244
JACKSONVILLE, FL 32244
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699536722, enumerated as an "organization" on January 16, 2024.
The provider is located at 6625 ARGYLE FOREST BLVD STE 4 JACKSONVILLE, FL 32244 and the phone number is (803) 613-4191.
Licensed Practical Nurse with taxonomy code 164W00000X.
