Organization Active NPI

Prominent Mobile Labs LLC

  • Phlebotomy Technician
  • Memphis, TN
National Provider Identifier
1154052900
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
PROMINENT MOBILE LABS LLC
Practice address
7773 Capital Peak LN W Apt 104
Memphis, TN 38125-1556
Phone
(978) 902-1339
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Trezestyvette BrooksNPI 1164153995
Title
Owner
Phone
(978) 902-1339

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
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

7773 Capital Peak LN W Apt 104
Memphis, TN 38125-1556

Mailing address

PO Box 1923
Southaven, MS 38671-0022
Phone (978) 902-1339

National Provider Directory

National Provider Directory

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1154052900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1923",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710022",
            "telephone_number": "978-902-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7773 CAPITAL PEAK LN W APT 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381251556",
            "telephone_number": "978-902-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TREZESTYVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-902-1339"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.