Phlebocare Mobile LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2014-2728 Issued in AL

Legal business name

PHLEBOCARE MOBILE LLC

Practice address

1203 US Highway 98
Suite 2a-9
Daphne, AL 36526-4277

Phone

(251) 401-8481

NPI assigned

Aug 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Tyrone Watson

Title

Founder Ceo

Phone

(251) 401-8481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1093093494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 US HIGHWAY 98",
            "address_2": "SUITE 2A-9",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264277",
            "telephone_number": "251-401-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 US HIGHWAY 98",
            "address_2": "SUITE 2A-9",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264277",
            "telephone_number": "251-401-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOCARE MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "FOUNDER CEO",
        "authorized_official_telephone_number": "251-401-8481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "2014-2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Daphne, AL
• Providers in Daphne, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.