Mobile Collective

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

MOBILE COLLECTIVE

Practice address

126 Perry LN
Central, SC 29630-9403

Phone

(864) 508-4597

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Tara GraddickNPI 1184215998

Title

Phlebotomist

Phone

(864) 508-4597

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.

• Tara Graddick

  • Phlebotomy Technician
  • Central, SC
  • NPI 1184215998
  NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1720670565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PERRY LN",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296309403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PERRY LN",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296309403",
            "telephone_number": "864-508-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "GRADDICK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "864-508-4597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiberg LLC
• Janet Krantz, PHD
• Taylor Leaphart
• Grant Alexander Macpherson, DO
• Danielle McFarquhar, LPC-A
• Marla Mosbah, M.S., CCC-SLP/L
• Laura Julene Nash, LPC
• Samuel O'Cain
• Off the Block Physical Therapy
• Sondra Rose Parsons, RN, BSN

• Phlebotomy Technician in Central, SC
• Providers in Central, SC by specialty
• Phlebotomy Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.