Traveling Seaside Mobile Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRAVELING SEASIDE MOBILE LAB

Practice address

3001 Graf Blvd
Mobile, AL 36606-4114

Phone

(404) 447-6279

NPI assigned

Feb 7, 2025

Last updated

Feb 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cherelle Andrea Thomas, CPT-1NPI 1306657929

Title

Owner/Operator

Phone

(404) 447-6279

Specialties & licenses 1

Addresses

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.

• Cherelle A Thomas, CPT1

  • Phlebotomy Technician
  • Gulf Breeze, FL
  • NPI 1306657929
  NPD Authorized official

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1700691789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE PKWY STE 622",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632711",
            "telephone_number": "404-447-6279",
            "fax_number": "972-767-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GRAF BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064114",
            "telephone_number": "404-447-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING SEASIDE MOBILE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHERELLE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "404-447-6279",
        "authorized_official_credential": "CPT-1"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.