Active NPI
Medical Mobile Labs P.L.L.C
- Clinical Medical Laboratory
- Everett, WA
National Provider Identifier
1265025316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Brittanyl_90@icloud.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI 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.