FIRST MOBILE LAB SERVICE NPI 1588241822

NPI Information

NPI: 1588241822
Provider Name: FIRST MOBILE LAB SERVICE
Classification: Technician, Pathology - 246RP1900X
Entity Type: Organization

Specialization: Phlebotomy

CLIA Number: 03D2220283

Address:
2240 BOMBAY DR
LAKE HAVASU CITY, AZ
ZIP 86404
Phone: (928) 486-5616
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FIRST MOBILE LAB SERVICE is a phlebotomy technician pathology in Lake Havasu City, AZ. FIRST MOBILE LAB SERVICE NPI is 1588241822. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2240 BOMBAY DR
LAKE HAVASU CITY, AZ
ZIP 86404-020
Phone: (928) 486-5616

The provider's authorized official is Marcie Lyon .
The authorized official title is Owner and has the following contact phone number (928) 486-5616.

The CLIA number assigned to this NPI record is 03D2220283 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2021 and was last updated on 3/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246RP1900X	Technician, Pathology	Phlebotomy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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