NPIMap

Organization Active NPI

Source of Life Mobile Labs

  • Clinical Medical Laboratory
  • Orlando, FL
National Provider Identifier
1922944990
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOURCE OF LIFE MOBILE LABS
Practice address
7132 Karden Way
Orlando, FL 32822-4631
Phone
(407) 779-0924
NPI assigned
Apr 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Willeshca Ramos, CPTNPI 1306782370
Title
Managing Member
Phone
(407) 779-0924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7132 Karden Way
Orlando, FL 32822-4631

Mailing address

7132 Karden Way
Orlando, FL 32822-4631
Phone (407) 779-0924

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1922944990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7132 KARDEN WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224631",
            "telephone_number": "407-779-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7132 KARDEN WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224631",
            "telephone_number": "407-779-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE OF LIFE MOBILE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "WILLESHCA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-779-0924",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.