Organization Active NPI

Straight Shot Mobile LLC

  • Clinical Medical Laboratory
  • Snellville, GA
National Provider Identifier
1851246300
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STRAIGHT SHOT MOBILE LLC
Practice address
2760 Trotters Walk TRL
Snellville, GA 30078-4520
Phone
(404) 804-5482
Fax
(888) 365-1441
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Nichole Ruffin
Title
Director
Phone
(470) 544-1082

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2760 Trotters Walk TRL
Snellville, GA 30078-4520

Mailing address

2760 Trotters Walk TRL
Snellville, GA 30078-4520
Phone (404) 804-5482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1851246300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 TROTTERS WALK TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784520",
            "telephone_number": "404-804-5482",
            "fax_number": "888-365-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 TROTTERS WALK TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784520",
            "telephone_number": "404-804-5482",
            "fax_number": "888-365-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT SHOT MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "RUFFIN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-544-1082"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "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 Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.