Active NPI
Elite Mobile Lab Services, LLC
- Phlebotomy Technician
- Arcadia, FL
National Provider Identifier
1861992745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 2511-8828
- Legal business name
- ELITE MOBILE LAB SERVICES, LLC
- Practice address
- 7711 SW Albritton St
Arcadia, FL 34266-8717 - Phone
- (941) 302-7745
- NPI assigned
- Feb 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kandis Drymon, CPT
- Title
- Phlebotomist/Owner
- Phone
- (941) 302-7745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 2511-8828 | FL | Primary |
Addresses
Primary practice location
7711 SW Albritton St
Arcadia, FL 34266-8717
Mailing address
7711 SW Albritton St
Arcadia, FL 34266-8717
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1861992745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 SW ALBRITTON ST",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 SW ALBRITTON ST",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668717",
"telephone_number": "941-302-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MOBILE LAB SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "DRYMON",
"authorized_official_first_name": "KANDIS",
"authorized_official_title_or_position": "PHLEBOTOMIST/OWNER",
"authorized_official_telephone_number": "941-302-7745",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": "2511-8828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.