Mobile Health Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE HEALTH LABS, LLC

Practice address

2115 E Jefferson St
Orlando, FL 32803-6006

Phone

(407) 982-7743

Fax

(407) 914-2116

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By 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

Daniel ColonNPI 1104144070

Title

President

Phone

(407) 982-7743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Daniel Colon

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1104144070
  NPD (past) Authorized official

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1578876769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536881",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328536881",
            "telephone_number": "407-982-7743",
            "fax_number": "407-914-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E JEFFERSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036006",
            "telephone_number": "407-982-7743",
            "fax_number": "407-914-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-982-7743"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Alexandra Moberly, APRN
• Samantha Mobijohn
• Mobile Advantage Wound Care LLC
• Mobile Dermatology Health LLC
• Mobile Diagnostic Solutions LLC
• Mobile in-Balance Diagnostics, LLC
• Mobile Prosthetics & Orthotics, Inc. (Prosthetic & Orthotic Associates)
• Mobile Swallowing Diagnostics
• Mobilemedix Plus LLC
• Anjum Mobin, MD

• Clinical Medical Laboratory in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.