Organization Active NPI

Tpa Mobile Labs LLC

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1083412290
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TPA MOBILE LABS LLC
Practice address
19046 Bruce B Downs Blvd Ste B6
Ste B6 #900
Tampa, FL 33647-2434
Phone
(813) 360-1407
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Emily Annaliesa Fowler
Title
Owner
Phone
(813) 284-8563

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

19046 Bruce B Downs Blvd Ste B6
Ste B6 #900
Tampa, FL 33647-2434

Mailing address

19046 Bruce B Downs Blvd Ste B6
Ste B6 #900
Tampa, FL 33647-2434
Phone (813) 360-1407

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2323297Tpa Mobile Labs LLC19046 Bruce B Downs Blvd Ste B6 #900, Tampa, FL 33647Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1083412290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19046 BRUCE B DOWNS BLVD STE B6",
            "address_2": "STE B6 #900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472434",
            "telephone_number": "813-360-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19046 BRUCE B DOWNS BLVD STE B6",
            "address_2": "STE B6 #900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472434",
            "telephone_number": "813-360-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPA MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANNALIESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-284-8563"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.

Verify at the official NPI Registry.