Organization Active NPI

Elite Mobile Lab Services, LLC

  • Phlebotomy Technician
  • Arcadia, FL
National Provider Identifier
1861992745
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
2511-8828 Issued in FL
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

Updated by the provider on Feb 16, 2018

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.