Organization Active NPI

Mobile Els LLC

  • Phlebotomy Technician
  • Belleville, IL
National Provider Identifier
1801518998
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
MOBILE ELS LLC
Practice address
133 Rosette Dr
Belleville, IL 62220-3355
Phone
(618) 545-4018
Fax
(618) 545-4018
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Jeshon Green
Title
Ceo/Mobile Phlebotomist
Phone
(618) 545-4018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

133 Rosette Dr
Belleville, IL 62220-3355

Mailing address

133 Rosette Dr
Belleville, IL 62220-3355
Phone (618) 670-2188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1801518998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROSETTE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203355",
            "telephone_number": "618-670-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROSETTE DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203355",
            "telephone_number": "618-545-4018",
            "fax_number": "618-545-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JESHON",
        "authorized_official_title_or_position": "CEO/MOBILE PHLEBOTOMIST",
        "authorized_official_telephone_number": "618-545-4018"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.