Organization Active NPI

Medpro Mobile LLC

Doing business as MedPro Mobile

  • Clinical Medical Laboratory
  • Boaz, AL
National Provider Identifier
1588346142
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDPRO MOBILE LLC
Doing business as
MedPro Mobile
Practice address
201 Elizabeth St # B2S6
Boaz, AL 35957-2133
Phone
(205) 359-2946
Fax
(844) 440-1983
NPI assigned
Aug 3, 2023
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Ashley SmithNPI 1881345395
Title
Owner
Phone
(205) 359-2946

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

201 Elizabeth St # B2S6
Boaz, AL 35957-2133

Mailing address

201 Elizabeth St # B2S6
Boaz, AL 35957-2133
Phone (205) 359-2946

Other names 1

  • MedPro Mobile Doing business as

National Provider Directory

National Provider Directory

Locations

201 Elizabeth St
#B2S6
Boaz, AL 35957
Phone (205) 359-2946

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1588346142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ELIZABETH ST # B2S6",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572133",
            "telephone_number": "205-359-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ELIZABETH ST # B2S6",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572133",
            "telephone_number": "205-359-2946",
            "fax_number": "844-440-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-359-2946"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPro Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedPro Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.