Precision Mobile Diagnostic Lab

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

PRECISION MOBILE DIAGNOSTIC LAB

Practice address

1612 Big Sky Drive.
Beaumont, CA 92223

Phone

(323) 640-2287

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly WilliamsNPI 1659112043

Title

Supervisor

Phone

(800) 988-4937

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimberly Williams

  • Phlebotomy Technician
  • Palm Springs, CA
  • NPI 1659112043
  NPD Authorized official

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1841031390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PALM CANYON DR.",
            "address_2": "STE 103 #1009",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "323-640-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 BIG SKY DRIVE.",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "323-640-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MOBILE DIAGNOSTIC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "800-988-4937"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Pond, OTR/L
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• Phlebotomy Technician in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Phlebotomy Technician in California

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