Medical Mobile Express Unlimted LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEDICAL MOBILE EXPRESS UNLIMTED LLC

Practice address

138 Trace LN
Lawrenceville, GA 30046-2892

Phone

(404) 721-3007

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By 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

Miss Francine Jeand Adams

Title

Owner

Phone

(404) 721-3007

Specialties & licenses 1

Addresses

Other names 1

• medical mobile express testing llc Former legal business name

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1225372543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 TRACE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462892",
            "telephone_number": "404-721-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 TRACE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462892",
            "telephone_number": "404-721-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MOBILE EXPRESS UNLIMTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "JEAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-721-3007",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medical mobile express testing llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.