Active NPI
Love Legacy Mobile Lab Services LLC
- Phlebotomy Technician
- Indianapolis, IN
National Provider Identifier
1215844360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- LOVE LEGACY MOBILE LAB SERVICES LLC
- Practice address
- 1653 Park Ridge Way
Indianapolis, IN 46229-4122 - Phone
- (317) 525-9765
- Fax
- (517) 317-6531
- NPI assigned
- Aug 25, 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
- David Mosley, MOSLEY
- Title
- Owner
- Phone
- (317) 552-8829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1653 Park Ridge Way
Indianapolis, IN 46229-4122
Mailing address
1653 Park Ridge Way
Indianapolis, IN 46229-4122
Phone (317) 525-9765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1215844360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 PARK RIDGE WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462294122",
"telephone_number": "317-525-9765",
"fax_number": "517-317-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 PARK RIDGE WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462294122",
"telephone_number": "317-525-9765",
"fax_number": "517-317-6531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE LEGACY MOBILE LAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "MOSLEY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-552-8829",
"authorized_official_credential": "MOSLEY"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.