NPIMap

Organization Active NPI

Express Mobile Lab

  • Phlebotomy Technician
  • La Plata, MD
National Provider Identifier
1699366914
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
EXPRESS MOBILE LAB
Practice address
10 Golden Willow Way
La Plata, MD 20646-6972
Phone
(800) 282-9033
NPI assigned
Jan 29, 2021
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Cherreonda Carnell, CCMA
Title
Ceo
Phone
(703) 899-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

10 Golden Willow Way
La Plata, MD 20646-6972

Mailing address

10 Golden Willow Way
La Plata, MD 20646-6972
Phone (800) 282-9033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1699366914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOLDEN WILLOW WAY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206466972",
            "telephone_number": "800-282-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOLDEN WILLOW WAY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206466972",
            "telephone_number": "800-282-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MOBILE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "CARNELL",
        "authorized_official_first_name": "CHERREONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-899-7002",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.