Riverside Mobile Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIVERSIDE MOBILE LABS LLC

Practice address

444 River Rd E
Rudolph, WI 54475-9563

Phone

(715) 423-1959

Fax

(715) 304-2920

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cami L Zopfi, PBT ASCPNPI 1336962372

Title

Owner/ Phlebotomist

Phone

(715) 572-1959

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cami Lynn Zopfi, PBT ASCP

  • Phlebotomy Technician
  • Rudolph, WI
  • NPI 1336962372
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1184449704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 RIVER RD E",
            "city": "RUDOLPH",
            "state": "WI",
            "postal_code": "544759563",
            "telephone_number": "715-423-1959",
            "fax_number": "715-304-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 RIVER RD E",
            "city": "RUDOLPH",
            "state": "WI",
            "postal_code": "544759563",
            "telephone_number": "715-423-1959",
            "fax_number": "715-304-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "ZOPFI",
        "authorized_official_first_name": "CAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PHLEBOTOMIST",
        "authorized_official_telephone_number": "715-572-1959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PBT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Nelson, LPN
• Kayla Schmidt, MS
• Natasha Marie Slattery, RN
• Cami Lynn Zopfi, PBT ASCP

• Clinical Medical Laboratory in Rudolph, WI
• Providers in Rudolph, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.