Active NPI
Mobile Vascular Labs LLC
- Nephrology Physician
- Mobile, AL
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
- Last updated
- Oct 2, 2026
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Other practice location 1
336 N Broad St
Ste A
Mobile, AL 36603-5801
Phone (251) 433-1180
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
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Mobile, AL
- NPI 1972922466
-
- Nephrology Physician
- Mobile, AL
- NPI 1083690465
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1942273560
-
- 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": "1790899200000",
"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": [
{
"address_1": "336 N Broad St",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366035801",
"country_code": "US",
"telephone_number": "251-433-1180",
"fax_number": "251-433-1181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOBILE VASCULAR LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-20",
"last_updated": "2026-10-02",
"certification_date": "2026-09-29",
"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
- Mobile Spine and Rehabilitation Limited Partnership
- Mobile Surgery Clinics
- Mobile Surgical Center PA
- Mobile Surgical Services, P.C.
- Mobile Urology Group, P.a.
- Mobile-Oms, LLC (Mobile Oral and Facial Surgery)
- Mobile-SC, LTD (Mobile Surgery Center)
- Mobility Metabolism & Wellness P C
- Mobility Metabolism & Wellness, P.C.
- Mobility Rehab LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.