Active NPI
Onsite Mobile Lab Services LLC
- Phlebotomy Technician
- Lehigh Acres, FL
National Provider Identifier
1083437271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- ONSITE MOBILE LAB SERVICES LLC
- Practice address
- 18308 Minorea LN
Lehigh Acres, FL 33936-6055 - Phone
- (239) 355-8717
- NPI assigned
- Nov 5, 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
- Shawna Knowles
- Title
- Owner
- Phone
- (239) 355-8717
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
18308 Minorea LN
Lehigh Acres, FL 33936-6055
Mailing address
18308 Minorea LN
Lehigh Acres, FL 33936-6055
Phone (239) 355-8717
Other names 1
- Shawna's Mobile Lab Ninja's LLC
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 |
|---|---|---|---|
| 10D2305827 | Onsite Mobile Lab Services LLC | Certificate of waiver | Jun 5, 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.
-
- Phlebotomy Technician
- Lehigh Acres, FL
- NPI 1881435683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1083437271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18308 MINOREA LN",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366055",
"telephone_number": "239-355-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18308 MINOREA LN",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366055",
"telephone_number": "239-355-8717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONSITE MOBILE LAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-05",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "KNOWLES",
"authorized_official_first_name": "SHAWNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-355-8717"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shawna's Mobile Lab Ninja's LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.