Active NPI
Quik Stop Mobile Labs, LLC
- Phlebotomy Technician
- Lake Wales, FL
National Provider Identifier
1457196248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- QUIK STOP MOBILE LABS, LLC
- Practice address
- 1 W Central Ave Ste 104
Lake Wales, FL 33853-4186 - Phone
- (863) 302-1800
- NPI assigned
- Jun 25, 2024
- 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
- Mrs. La'Tricia Thompson
- Title
- Owner
- Phone
- (863) 302-1800
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1 W Central Ave Ste 104
Lake Wales, FL 33853-4186
Mailing address
1 W Central Ave Ste 104
Lake Wales, FL 33853-4186
Phone (863) 302-1800
National Provider Directory
National Provider DirectoryLocations
1 W Central Ave
Ste 104
Lake Wales, FL 33853
Phone (863) 250-5722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Phlebotomy Technician
- Lake Wales, FL
- NPI 1518666486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1457196248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W CENTRAL AVE STE 104",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534186",
"telephone_number": "863-302-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W CENTRAL AVE STE 104",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534186",
"telephone_number": "863-302-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIK STOP MOBILE LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "LA'TRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-302-1800",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.