Active NPI
Mobile Vascular Labs LLC
- Nephrology Physician
- Mobile, AL
National Provider Identifier
1124354501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MOBILE VASCULAR LABS LLC
- Practice address
- 1551 Old Shell Rd
Mobile, AL 36604-1354 - Phone
- (251) 433-1180
- Fax
- (251) 433-1181
- NPI assigned
- Oct 20, 2009
- 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
- Dr. Gregg Miller, MD
- Title
- Authorized Official
- Phone
- (717) 515-4048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1551 Old Shell Rd
Mobile, AL 36604-1354
Mailing address
PO Box 410207
Boston, MA 02241-0207
Phone (610) 644-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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 |
|---|---|---|---|
| 01D2152563 | Mobile Vascular Labs LLC | Certificate of waiver | Aug 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053
1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Mobile, AL
- NPI 1972922466
-
- Nephrology Physician
- Mobile, AL
- NPI 1083690465
-
- Nephrology Physician
- Mobile, AL
- NPI 1902175649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1124354501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 410207",
"city": "BOSTON",
"state": "MA",
"postal_code": "022410207",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041354",
"telephone_number": "251-433-1180",
"fax_number": "251-433-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE VASCULAR LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-20",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GREGG",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "717-515-4048",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.