NPIMap

Organization Active NPI

Mobile Pediatric Clinic LLC

Doing business as Saraland Pediatric Clinic

  • Pediatrics Physician
  • Saraland, AL
National Provider Identifier
1861869117
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MOBILE PEDIATRIC CLINIC LLC
Doing business as
Saraland Pediatric Clinic
Practice address
1084 Industrial Pkwy Ste a
Saraland, AL 36571-3725
Phone
(251) 342-8900
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Amy Collins
Title
Managing Member
Phone
(251) 342-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1084 Industrial Pkwy Ste a
Saraland, AL 36571-3725

Mailing address

PO Box 91899
Mobile, AL 36691-1899

Other names 1

  • Saraland Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mobile Pediatric Clinic LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1084 Industrial Pkwy
Ste A
Saraland, AL 36571
Phone (251) 342-8900

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1861869117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91899",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 INDUSTRIAL PKWY STE A",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713725",
            "telephone_number": "251-342-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PEDIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "251-342-8900"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saraland Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.