Active NPI
Nova Lab Mobile LLC
- Clinical Medical Laboratory
- Phoenix, AZ
National Provider Identifier
1174436661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NOVA LAB MOBILE LLC
- Practice address
- 6615 N 17TH Ave Apt 6
Phoenix, AZ 85015-1388 - Phone
- (480) 861-0451
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 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
- Neyda Gonzalez Pedraza, CPT
- Title
- Owner
- Phone
- (480) 861-0451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
6615 N 17TH Ave Apt 6
Phoenix, AZ 85015-1388
Mailing address
6615 N 17TH Ave Apt 6
Phoenix, AZ 85015-1388
Phone (480) 861-0451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1174436661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6615 N 17TH AVE APT 6",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151388",
"telephone_number": "480-861-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6615 N 17TH AVE APT 6",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151388",
"telephone_number": "480-861-0451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA LAB MOBILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "GONZALEZ PEDRAZA",
"authorized_official_first_name": "NEYDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-861-0451",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.