Organization Active NPI

TLC From the Heart Mobile Labs LLC

  • Clinical Medical Laboratory
  • Leesburg, FL
National Provider Identifier
1326767187
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TLC FROM THE HEART MOBILE LABS LLC
Practice address
801 Talladega St
Leesburg, FL 34748-2799
Phone
(352) 617-3840
NPI assigned
Aug 24, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Jylaena SanchezNPI 1699424689
Title
Ceo
Phone
(352) 617-3840

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

801 Talladega St
Leesburg, FL 34748-2799

Mailing address

801 Talladega St
Leesburg, FL 34748-2799

Other identifiers 1

IdentifierTypeStateIssuer
1699424689MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tlcmobilelabs@gmail.com

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1326767187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TALLADEGA ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TALLADEGA ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482799",
            "telephone_number": "352-617-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FROM THE HEART MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JYLAENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-617-3840"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699424689",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tlcmobilelabs@gmail.com",
            "affiliation": "N",
            "address_1": "801 Talladega St",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347482799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.