Active NPI
Mobile Lab and Wellness
- Clinical Medical Laboratory
- Bowie, MD
National Provider Identifier
1316829807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MOBILE LAB AND WELLNESS
- Practice address
- 12530 Fairwood Pkwy
Bowie, MD 20720-6356 - Phone
- (443) 935-8076
- NPI assigned
- Jul 24, 2025
- Last updated
- Jul 24, 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
- Danny Johnson
- Title
- Owner
- Phone
- (443) 935-8076
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
12530 Fairwood Pkwy
Bowie, MD 20720-6356
Mailing address
12530 Fairwood Pkwy
Bowie, MD 20720-6356
National Provider Directory
National Provider DirectoryLocations
12530 Fairwood Pkwy
Bowie, MD 20720
Phone (240) 334-7393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Albany, NY
- NPI 1396460358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1316829807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12530 FAIRWOOD PKWY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12530 FAIRWOOD PKWY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206356",
"telephone_number": "443-935-8076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE LAB AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-935-8076"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.