Mobile Lab America LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MOBILE LAB AMERICA LLC

Practice address

3078 Hull St
Richmond, VA 23224-3574

Phone

(804) 316-1330

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Miss Shakima Moreno

Title

Sole Member

Phone

(804) 316-1330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1215346911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243574",
            "telephone_number": "804-316-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LAB AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "SHAKIMA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "804-316-1330",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Richmond, VA
• Providers in Richmond, VA by specialty
• Non-Pharmacy Dispensing Site in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.