KM Mobile Lab Enterprises LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KM MOBILE LAB ENTERPRISES LLC

Practice address

318 Hospital Dr
Thomson, GA 30824-2121

Phone

(706) 843-7275

Fax

(706) 426-8469

NPI assigned

Jul 11, 2026

Organization subpart

No

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

Authorized official

Name

Kyanna Nicole Mullen

Title

Owner

Phone

(762) 218-3929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1669391900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 WASHINGTON ROAD",
            "address_2": "STE 2 #1019",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-843-7275",
            "fax_number": "706-426-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HOSPITAL DR",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242121",
            "telephone_number": "706-843-7275",
            "fax_number": "706-426-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM MOBILE LAB ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "KYANNA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-218-3929"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelli M Carter MD LLC (Family First Healthcare Associates)
• Tom Edward Kelsey
• Hezekiah King
• Lawrence R. Klein, CRNA
• Kristina Lynn Kruse, MD
• Susan H Land, M.D.
• Jennifer Porter Lemay, M.D.
• James L Lemley, M.D.
• Robert K Lemley, M.D.

• Clinical Medical Laboratory in Thomson, GA
• Providers in Thomson, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.