Mobile Stat Lab Solutions

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

MOBILE STAT LAB SOLUTIONS

Practice address

135 Park Meadow LN Apt H
Elyria, OH 44035-7341

Phone

(440) 453-0347

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kanika Jackson, PBT

Title

Owner

Phone

(440) 453-0347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1477213387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARK MEADOW LN APT H",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357341",
            "telephone_number": "440-453-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARK MEADOW LN APT H",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357341",
            "telephone_number": "440-453-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE STAT LAB SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-453-0347",
        "authorized_official_credential": "PBT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Alexander Miranda-Jaram
• Joseph Jeremy Mirci, D.M.D., M.S.
• Katherine A Misterka, MSSA, LISW-S
• Niraj Chimanbhai Mistry, MD
• MN Friedman Consulting Inc (Elyria Chiropractic & Rehabilitation)
• Rebecca Mobley, LPN
• Debera W Moennich, CRNA
• Marcia Grace Mohr
• Moriah Montalvo
• Ryan R Montgomery, APRN, FNP-C

• Phlebotomy Technician in Elyria, OH
• Providers in Elyria, OH by specialty
• Phlebotomy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.