Prodraw Mobile Labs, LLC

Primary specialty

Military Clinical Medical LaboratoryTaxonomy code 291900000X

Legal business name

PRODRAW MOBILE LABS, LLC

Practice address

17348 Monte Isola Way North
Fort Myers, FL 33917

Phone

(239) 328-3236

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Lorena Bencosme, CMA, CPT, CET

Title

Owner/Plebotomist

Phone

(239) 328-3236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1184597098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17348 MONTE ISOLA WAY",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339172177",
            "telephone_number": "239-328-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17348 MONTE ISOLA WAY NORTH",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33917",
            "telephone_number": "239-328-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODRAW MOBILE LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "BENCOSME",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OWNER/PLEBOTOMIST",
        "authorized_official_telephone_number": "239-328-3236",
        "authorized_official_credential": "CMA, CPT, CET"
    },
    "taxonomies": [
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prisma Recovery Center LLC
• Robert Bernie Pritt, D.O.
• Pro Therapy Services Inc
• Jansi Probakaran, MD
• James Domonic Proce, RN, BS, MS, ARNP
• Professional RN First Assistants, P.a.
• Professional Sleep Analysis, LLC
• Progressive Imaging LLC
• Project Choice LLC
• Bradford S. Prokop, MD

• Military Clinical Medical Laboratory in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Military Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.