Fullscope Mobile Diagnostics

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

Legal business name

FULLSCOPE MOBILE DIAGNOSTICS

Practice address

330 Levine Rd
Odenville, AL 35120-3607

Phone

(205) 722-3648

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Ebony S GonzalesNPI 1962237362

Title

Owner

Phone

(205) 722-3648

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebony Shantell Gonzales

  • Phlebotomy Technician
  • Odenville, AL
  • NPI 1962237362
  NPD Authorized official

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1225908643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LEVINE RD",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351203607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LEVINE RD",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351203607",
            "telephone_number": "205-722-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLSCOPE MOBILE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-722-3648"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dreams Inc Short Term Nursing
• Bradley Durrance
• Curtis M Eddy, PHARM D
• Courtney Alexis Eggleston Merriweather, DO
• Matthew Wayne Foster, LPC
• Sandra Gardner, EXECUTIVE DIRECTOR
• Gifted Hands Healthcare LLC
• Michael Paul Gigis I, DNP, MSN, FNE, RN
• Ebony Shantell Gonzales
• Chartiece Gunter

• Pathology Specialist/Technologist in Odenville, AL
• Providers in Odenville, AL by specialty
• Pathology Specialist/Technologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.