Organization Active NPI

Mobimed Diagnostics

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1245125137
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jun 11, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20251211003116 FL Part B Supplier - Independent Clinical Laboratory 7517451032 Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.