Active NPI
Phillips Mobile Labs LLC
- Pharmacy Technician
- Phoenix, AZ
National Provider Identifier
1053178558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Legal business name
- PHILLIPS MOBILE LABS LLC
- Practice address
- 2942 N 24TH St Ste 114
Phoenix, AZ 85016-7849 - Phone
- (866) 467-5227
- Fax
- (602) 584-5784
- NPI assigned
- Mar 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nytisha Marie Davis
- Title
- Owner
- Phone
- (610) 245-7838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary | ||
| Phlebotomy Technician | 246RP1900X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
2942 N 24TH St Ste 114
Phoenix, AZ 85016-7849
Mailing address
2942 N 24TH St Ste 114
Phoenix, AZ 85016-7849
Phone (866) 467-5227
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2299129 | Phillips Mobile Labs | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1053178558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 N 24TH ST STE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167849",
"telephone_number": "866-467-5227",
"fax_number": "602-584-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2942 N 24TH ST STE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167849",
"telephone_number": "866-467-5227",
"fax_number": "602-584-5784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS MOBILE LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "NYTISHA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-245-7838",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.