NPIMap

Organization Active NPI

Forward Mobile Medics, LLC

  • Phlebotomy Technician
  • Houston, TX
National Provider Identifier
1104206457
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
FORWARD MOBILE MEDICS, LLC
Practice address
340 N Sam Houston Pkwy E Ste 165L
Houston, TX 77060-3307
Phone
(253) 881-1651
Fax
(253) 600-3513
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Nikki N Ellah, RCMANPI 1225420300
Title
Owner
Phone
(253) 881-1651

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary
Home Infusion Agency 251F00000X
Clinic/Center 261Q00000X TX

Addresses

Primary practice location

340 N Sam Houston Pkwy E Ste 165L
Houston, TX 77060-3307

Mailing address

PO Box 2022
Tacoma, WA 98401-2022
Phone (253) 881-1651

Other practice location 1

340 N Beltway 8
Houston, TX 77060-3305
Phone (713) 364-6808

Other names 1

  • Forward Mobile Medics Doing business as

National Provider Directory

National Provider Directory

Locations

340 N Sam Houston Pkwy E
Ste 165L
Houston, TX 77060
Phone (253) 881-1651

340 N Sam Houston Pkwy E
Ste 691
Houston, TX 77060

Practitioners & 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": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1104206457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984012022",
            "telephone_number": "253-881-1651",
            "fax_number": "253-600-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE 165L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603307",
            "telephone_number": "253-881-1651",
            "fax_number": "253-600-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 N Beltway 8",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770603305",
            "country_code": "US",
            "telephone_number": "713-364-6808",
            "fax_number": "832-219-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORWARD MOBILE MEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ELLAH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-881-1651",
        "authorized_official_credential": "RCMA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Mobile Medics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.