Organization Active NPI

JNL Mobile Enterprises LLC

  • Clinical Medical Laboratory
  • El Paso, TX
National Provider Identifier
1124608401
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JNL MOBILE ENTERPRISES LLC
Practice address
6138 Montana Ave
El Paso, TX 79925-2022
Phone
(915) 246-2139
NPI assigned
Apr 12, 2021
Organization subpart
Yes
Parent organization
JNL MOBILE ENTERPRISES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Jeremiah LopezNPI 1023609112
Title
Laboratory Director
Phone
(915) 246-2139

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6138 Montana Ave
El Paso, TX 79925-2022

Mailing address

12029 Greenveil Dr
El Paso, TX 79936-0388
Phone (915) 246-2139

Other names 1

  • JNL Mobile Laboratories Doing business as

National Provider Directory

National Provider Directory
Part of
JNL Mobile Enterprises LLC

Locations

6138 Montana Ave
El Paso, TX 79925
Phone (915) 246-2139

1517 E Missouri Ave
El Paso, TX 79902

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": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1124608401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12029 GREENVEIL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360388",
            "telephone_number": "915-246-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252022",
            "telephone_number": "915-246-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNL MOBILE ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JNL MOBILE ENTERPRISES LLC",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "915-246-2139"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JNL Mobile Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JNL Mobile Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.