NPIMap

Organization Active NPI

Elite Mobile Labs, LLC

  • Health Service Clinic/Center
  • Orlando, FL
National Provider Identifier
1689025660
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ELITE MOBILE LABS, LLC
Practice address
5824 Lake Pointe Village Cir
501
Orlando, FL 32822-3570
Phone
(407) 701-3484
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Elis J Hernandez
Title
Ceo
Phone
(407) 701-3484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5824 Lake Pointe Village Cir
501
Orlando, FL 32822-3570

Mailing address

5824 Lake Pointe Village Cir
501
Orlando, FL 32822-3570
Phone (407) 701-3484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1689025660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 LAKE POINTE VILLAGE CIR",
            "address_2": "501",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328223570",
            "telephone_number": "407-701-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 LAKE POINTE VILLAGE CIR",
            "address_2": "501",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328223570",
            "telephone_number": "407-701-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBILE LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-701-3484"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.