Organization Active NPI

Mobile Labs at Your Service LLC

  • Home Health Agency
  • Cleburne, TX
National Provider Identifier
1174096598
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOBILE LABS AT YOUR SERVICE LLC
Practice address
601 Woodard Ave # 601
Cleburne, TX 76033-5245
Phone
(817) 526-1120
Fax
(817) 774-2075
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Rosibel RodriguezNPI 1700352275
Title
Manager
Phone
(817) 487-9940

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

601 Woodard Ave # 601
Cleburne, TX 76033-5245

Mailing address

601 Woodard Ave # 601
Cleburne, TX 76033-5245
Phone (817) 526-1120

Other identifiers 1

IdentifierTypeStateIssuer
1700352275MedicaidTX

Other names 1

  • MOBILE LABS AT YOUR SERVICE LLC Former legal business name

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1174096598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WOODARD AVE # 601",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335245",
            "telephone_number": "817-526-1120",
            "fax_number": "817-774-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WOODARD AVE # 601",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335245",
            "telephone_number": "817-526-1120",
            "fax_number": "817-774-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LABS AT YOUR SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROSIBEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-487-9940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700352275",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILE LABS AT YOUR SERVICE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.