NPIMap

Organization Active NPI

Mobile Lab Services

  • Clinical Medical Laboratory
  • Lake, WV
National Provider Identifier
1689237315
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOBILE LAB SERVICES
Practice address
102 Spring Beauty Lane
Lake, WV 25121
Phone
(304) 601-3554
NPI assigned
Apr 18, 2019
Last updated
Nov 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Authorized official

Name
Carrie HunterNPI 1659031607
Title
Owner
Phone
(304) 946-0097

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

102 Spring Beauty Lane
Lake, WV 25121

Mailing address

PO Box 47
Pecks Mill, WV 25547-0047
Phone (304) 946-0097

National Provider Directory

National Provider Directory

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": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573862400000",
    "number": "1689237315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "PECKS MILL",
            "state": "WV",
            "postal_code": "255470047",
            "telephone_number": "304-946-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SPRING BEAUTY LANE",
            "city": "LAKE",
            "state": "WV",
            "postal_code": "25121",
            "telephone_number": "304-601-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-11-16",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-946-0097"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.