Organization Active NPI

Mobile-SC, LTD

Doing business as Mobile Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mobile, AL
National Provider Identifier
1760447866
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MOBILE-SC, LTD
Doing business as
Mobile Surgery Center
Practice address
6144 Airport Blvd Ste a
Mobile, AL 36608-3143
Phone
(251) 438-3614
NPI assigned
Apr 20, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Lea Harbor
Title
VP
Phone
(205) 545-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

6144 Airport Blvd Ste a
Mobile, AL 36608-3143

Mailing address

6144 Airport Blvd Ste a
Mobile, AL 36608-3143

Other names 1

  • Mobile Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000383 AL Part B Supplier - Ambulatory Surgical Center 2860464302 Practice locations: Mobile, AL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mobile SC LTD Dba Mobile Surgery CenterCCN 01C0001002
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6144 Airport Blvd
#A
Mobile, AL 36608
Phone (251) 438-3614

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1760447866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 AIRPORT BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 AIRPORT BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083143",
            "telephone_number": "251-438-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE-SC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HARBOR",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-2572"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.