Organization Active NPI

Synergy Lab Spot Urgent Care

Doing business as Synergy Mobile Lab LTD

  • Urgent Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1770374241
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SYNERGY LAB SPOT URGENT CARE
Doing business as
Synergy Mobile Lab LTD
Practice address
917 Arch St # 107a
Philadelphia, PA 19107-2442
Phone
(724) 330-3304
Fax
(833) 463-2146
NPI assigned
May 14, 2025
Last updated
Jan 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Authorized official

Name
Miss Sandra Rodriguez, RPT, CMAS, RMANPI 1497520068
Title
Owner
Phone
(445) 206-2025

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
Family Medicine Physician 207Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

917 Arch St # 107a
Philadelphia, PA 19107-2442

Mailing address

917 Arch St Apt 408
Philadelphia, PA 19107-2446
Phone (445) 206-2025

Other names 1

  • SYNERGY MOBILE LAB LTD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250902003153 PA Part B Supplier - Clinic/Group Practice 3072014828 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2308859Synergy Lab Spot917 Arch St, Apt 408, Philadelphia, PA 19107Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

917 Arch St
Ste 107
Philadelphia, PA 19107
Phone (267) 703-2345

Practitioners & affiliated clinicians

Practitioners 2

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": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769817600000",
    "number": "1770374241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 ARCH ST APT 408",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072446",
            "telephone_number": "445-206-2025",
            "fax_number": "833-463-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 ARCH ST # 107A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072442",
            "telephone_number": "724-330-3304",
            "fax_number": "833-463-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY LAB SPOT URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "445-206-2025",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPT, CMAS, RMA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY MOBILE LAB LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.