Organization Active NPI

Medical Mobile Labs P.L.L.C

  • Clinical Medical Laboratory
  • Everett, WA
National Provider Identifier
1265025316
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDICAL MOBILE LABS P.L.L.C
Practice address
5416 1St Dr W
Everett, WA 98203-3498
Phone
(206) 769-1502
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Brittany Lucretia Peoples
Title
Phlebotomist
Phone
(206) 769-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5416 1St Dr W
Everett, WA 98203-3498

Mailing address

5416 1St Dr W
Everett, WA 98203-3498
Phone (206) 769-1502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brittanyl_90@icloud.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1265025316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 1ST DR W",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982033498",
            "telephone_number": "206-769-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 1ST DR W",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982033498",
            "telephone_number": "206-769-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MOBILE LABS P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "LUCRETIA",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "206-769-1502"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brittanyl_90@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5416 1st Dr W",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982033498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.