Organization Active NPI

Synergy Mobile Lab LTD

Doing business as Synergy Mobile Lab

  • Clinical Medical Laboratory
  • Philadelphia, PA
National Provider Identifier
1841067345
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SYNERGY MOBILE LAB LTD
Doing business as
Synergy Mobile Lab
Synergy Mobile Lab LTD
Practice address
917 Arch St # 107B
Philadelphia, PA 19107-2442
Phone
(445) 206-2025
Fax
(883) 463-2146
NPI assigned
Dec 6, 2023
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
Prof. 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 2

  • SYNERGY MOBILE LAB Doing business as
  • 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
O20241115002945 PA Part B Supplier - Clinic/Group Practice 9739538893 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

917 Arch St
Ste 103
Philadelphia, PA 19107

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": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769817600000",
    "number": "1841067345",
    "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 # 107B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072442",
            "telephone_number": "445-206-2025",
            "fax_number": "883-463-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MOBILE LAB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "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": "Prof.",
        "authorized_official_credential": "RPT, CMAS, RMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY MOBILE LAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.