Integrated Mobile Lab, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INTEGRATED MOBILE LAB, LLC

Practice address

3863 Hope Haven Dr
Florissant, MO 63034-2039

Phone

(888) 506-6618

Fax

(888) 506-2102

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Miss April Janine Atkinson

Title

Phlebotomist

Phone

(888) 506-6618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1871884098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 HOPE HAVEN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342039",
            "telephone_number": "888-506-6618",
            "fax_number": "888-506-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 HOPE HAVEN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342039",
            "telephone_number": "888-506-6618",
            "fax_number": "888-506-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MOBILE LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "888-506-6618",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Florissant, MO
• Providers in Florissant, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.