Easy Go Mobile Lab Service LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

EASY GO MOBILE LAB SERVICE LLC

Practice address

1775 Parker Rd SE
Conyers, GA 30094-6654

Phone

(706) 438-4747

Fax

(706) 262-2824

NPI assigned

Sep 6, 2021

Last updated

Sep 6, 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

Crystal Hardy, PHLEBOTOMYNPI 1104457241

Title

Ceo/Phlebotomist

Phone

(706) 438-4747

Specialties & licenses 1

Addresses

Other names 1

• Easy Go Mobile Lab Service LLC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Crystal Hardy, PHLEBOTOMIST

  • Phlebotomy Technician
  • Lincolnton, GA
  • NPI 1104457241
  NPD Authorized official

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1538837349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WELLS ST",
            "city": "LINCOLNTON",
            "state": "GA",
            "postal_code": "308173426",
            "telephone_number": "706-438-4747",
            "fax_number": "706-262-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "706-438-4747",
            "fax_number": "706-262-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY GO MOBILE LAB SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO/PHLEBOTOMIST",
        "authorized_official_telephone_number": "706-438-4747",
        "authorized_official_credential": "PHLEBOTOMY"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Go Mobile Lab Service LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Phlebotomy Technician in Conyers, GA
• Providers in Conyers, GA by specialty
• Phlebotomy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.