Southern Mobile Medical LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHERN MOBILE MEDICAL LLC

Practice address

304 Hillbrook Dr
Starkville, MS 39759-6780

Phone

(757) 639-5013

NPI assigned

Mar 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Gleason

Title

Co-Owner

Phone

(757) 761-2583

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Gleason, RN

  • Registered Nurse
  • Starkville, MS
  • NPI 1033700349
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1033704036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HILLBROOK DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596780",
            "telephone_number": "757-639-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HILLBROOK DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596780",
            "telephone_number": "757-639-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MOBILE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "757-761-2583"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@southernmobilemedical.com",
            "affiliation": "N",
            "address_1": "304 Hillbrook Dr",
            "city": "Starkville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397596780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Todd Smith, M.D.
• Soulflower Counseling, LLC
• Southern Caregivers of Starkville, LLC
• Southern Family Markets LLC
• Southern Foundation for Homeless Children
• Diane Sparks, LPC
• Brooklyn Sparnecht, SLP
• Specialty Orthopedic Group of Ms, PLLC
• Speech Therapy for Kids, LLC
• Lindsey Speights, MS

• Clinical Medical Laboratory in Starkville, MS
• Providers in Starkville, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.