NPIMap

Organization Active NPI

Idts-Mobile Specimen Collection Lab LLC

  • Community Health Worker
  • Suitland, MD
National Provider Identifier
1417847310
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
IDTS-MOBILE SPECIMEN COLLECTION LAB LLC
Practice address
3849 Saint Barnabas Rd Apt T2
Suitland, MD 20746-3238
Phone
(240) 350-2943
Fax
(866) 528-1035
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Ms. Phyllis Smith, NANPI 1376433276
Title
Owner/Dot Collector
Phone
(240) 350-2943

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X

Addresses

Primary practice location

3849 Saint Barnabas Rd Apt T2
Suitland, MD 20746-3238

Mailing address

3849 Saint Barnabas Rd Apt T2
Suitland, MD 20746-3238
Phone (240) 350-2943

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.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1417847310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 SAINT BARNABAS RD APT T2",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207463238",
            "telephone_number": "240-350-2943",
            "fax_number": "866-528-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 SAINT BARNABAS RD APT T2",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207463238",
            "telephone_number": "240-350-2943",
            "fax_number": "866-528-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDTS-MOBILE SPECIMEN COLLECTION LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER/DOT COLLECTOR",
        "authorized_official_telephone_number": "240-350-2943",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.