Active NPI
On Point Mobile Phlebotomy LLC
- Clinical Medical Laboratory
- Vidalia, GA
National Provider Identifier
1265320667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ON POINT MOBILE PHLEBOTOMY LLC
- Practice address
- 602 Church St Ste a
Vidalia, GA 30474-4744 - Phone
- (912) 386-7117
- Fax
- (912) 386-7118
- NPI assigned
- Jun 25, 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
- Tina Nicole Peebles
- Title
- Owner
- Phone
- (912) 386-7117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
602 Church St Ste a
Vidalia, GA 30474-4744
Mailing address
602 Church St Ste a
Vidalia, GA 30474-4744
Phone (912) 386-7117
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1265320667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 CHURCH ST STE A",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744744",
"telephone_number": "912-386-7117",
"fax_number": "912-307-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 CHURCH ST STE A",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744744",
"telephone_number": "912-386-7117",
"fax_number": "912-386-7118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON POINT MOBILE PHLEBOTOMY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "PEEBLES",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-386-7117"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.