Active NPI
Mobimed Diagnostics
- Clinical Medical Laboratory
- Jacksonville, FL
National Provider Identifier
1245125137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MOBIMED DIAGNOSTICS
- Practice address
- 550 Balmoral Cir N Ste 303
Jacksonville, FL 32218-5583 - Phone
- (949) 338-9123
- NPI assigned
- Jun 11, 2025
- 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
- Arlene Gayares
- Title
- Manager
- Phone
- (949) 395-6883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
550 Balmoral Cir N Ste 303
Jacksonville, FL 32218-5583
Mailing address
6392 McLeod Dr Ste 7
Las Vegas, NV 89120-4417
Phone (949) 338-9123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251211003116 | FL | Part B Supplier - Independent Clinical Laboratory | 7517451032 | Practice locations: Jacksonville, FL |
National Provider Directory
National Provider DirectoryLocations
550 Balmoral Cir N
Ste 303
Jacksonville, FL 32218
Phone (844) 886-3328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1245125137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6392 MCLEOD DR STE 7",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891204417",
"telephone_number": "949-338-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BALMORAL CIR N STE 303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185583",
"telephone_number": "949-338-9123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBIMED DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "GAYARES",
"authorized_official_first_name": "ARLENE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "949-395-6883"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.