Mobile Lab Services Co

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE LAB SERVICES CO

Doing business as

Mobile Covid Testing

Practice address

6108 S Harlem Ave
Summit, IL 60501-1626

Phone

(703) 896-2039

Fax

(312) 807-3550

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammed Aburealh

Title

President

Phone

(703) 896-2039

Specialties & licenses 1

Addresses

Other names 1

• MOBILE COVID TESTING Doing business as

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1891455820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 ODELL AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552115",
            "telephone_number": "703-896-2039",
            "fax_number": "312-807-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 S HARLEM AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011626",
            "telephone_number": "703-896-2039",
            "fax_number": "312-807-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LAB SERVICES CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "ABUREALH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-896-2039"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILE COVID TESTING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Summit, IL
• Providers in Summit, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.