Tennessee Mobile Laboratory LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

TENNESSEE MOBILE LABORATORY LLC

Practice address

235 Lafollette Cir
Pigeon Forge, TN 37863-3207

Phone

(865) 659-8803

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Deana WildsNPI 1134940091

Title

President / Ceo

Phone

(865) 659-8803

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deana Wilds

  • Phlebotomy Technician
  • Pigeon Forge, TN
  • NPI 1134940091
  NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1407678501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 LAFOLLETTE CIR",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633207",
            "telephone_number": "865-659-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 LAFOLLETTE CIR",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633207",
            "telephone_number": "865-659-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE MOBILE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "WILDS",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "865-659-8803"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Starritt, FNP-BC
• Jennifer Louise Steele, APRN, BC
• Stewarts Drug Inc No 2
• Barbara Ann Taylor, PHD, LMFT
• Tennessee CVS Pharmacy, L.L.C.
• Timothy Thomason, PA-C
• Volunteer Family Medical
• Walgreen Co
• Keith Edward Whaley, OD
• Clinton White

• Phlebotomy Technician in Pigeon Forge, TN
• Providers in Pigeon Forge, TN by specialty
• Phlebotomy Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.