On Demand Mobile Labs & Services ,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ON DEMAND MOBILE LABS & SERVICES ,LLC

Practice address

72 Davis Mill CT
Lawrenceville, GA 30044-4634

Phone

(800) 377-1902

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Maureen Aguebor

Title

Executive Director

Phone

(800) 377-1902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1285315226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 DAVIS MILL CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444634",
            "telephone_number": "800-377-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 DAVIS MILL CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444634",
            "telephone_number": "800-377-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DEMAND MOBILE LABS & SERVICES ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "AGUEBOR",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-377-1902"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Oluseyi
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• Yasmine Omer
• Mary Omorogbe
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• Norvin Ilao Ona, D.O.
• Adediran Tobi Onagoruwa
• Leslie Shannon Oneill
• Janet Atieno Ongati

• Clinical Medical Laboratory in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.