NPIMap

Organization Active NPI

On the Move Medic

  • Clinical Medical Laboratory
  • Gulfport, MS
National Provider Identifier
1801237839
Registry record updated Jul 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ON THE MOVE MEDIC
Practice address
4405 29TH St
Gulfport, MS 39501-5814
Phone
(228) 265-2544
NPI assigned
Jul 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2013

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

Authorized official

Name
Mrs. Lakisha R Redmond, RMA,CCMA,NPI 1831661800
Title
Owner
Phone
(228) 265-2544

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Community Health Clinic/Center 261QC1500X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4405 29TH St
Gulfport, MS 39501-5814

Mailing address

4405 29TH St
Gulfport, MS 39501-5814
Phone (228) 265-2544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373068800000",
    "number": "1801237839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 29TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015814",
            "telephone_number": "228-265-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 29TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015814",
            "telephone_number": "228-265-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE MOVE MEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-06",
        "last_updated": "2013-07-06",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-265-2544",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMA,CCMA,"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2013; 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.