Stat Mobile Labs, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

STAT MOBILE LABS, LLC

Practice address

1732 Summernight Terrace
Colorado Springs, CO 80909-2728

Phone

(719) 209-7770

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By 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

Jessica Neilson, RMANPI 1184317976

Title

Owner

Phone

(719) 209-7770

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.

• Jessica Neilson, RMA

  • Laboratory Management Specialist/Technologist
  • Colorado Springs, CO
  • NPI 1184317976
  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1205512159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 SUMMERNIGHT TERRACE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092728",
            "telephone_number": "719-209-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 SUMMERNIGHT TERRACE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092728",
            "telephone_number": "719-209-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MOBILE LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "NEILSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-209-7770",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starpath ABA LLC
• Alexandria A Starr, OD
• Leanne R Starr, PSY.D.
• Michelle S Staska, PHARMD
• Samuel John Staszewski, BSN, RN
• State Board for Community Colleges and Occupational Education
• State Board for Community Colleges and Occupational Education
• State of Colorado
• Aunnalycia States Padilla
• Stateserv Medical of Colorado LLC

• Point of Service in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.