On the Road Labs, LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

ON THE ROAD LABS, LLC

Practice address

414 E Pass Rd
Gulfport, MS 39507-3236

Phone

(228) 206-4108

Fax

(228) 206-4109

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Crystal ThompsonNPI 1679287999

Title

Medical Laboratory Technician

Phone

(757) 726-7950

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Thompson

  • Phlebotomy Technician
  • D'Iberville, MS
  • NPI 1679287999
  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1154035491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073236",
            "telephone_number": "228-206-4108",
            "fax_number": "228-206-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073236",
            "telephone_number": "228-206-4108",
            "fax_number": "228-206-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE ROAD LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MEDICAL LABORATORY TECHNICIAN",
        "authorized_official_telephone_number": "757-726-7950"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.