Active NPI
Empire Mobile Lab
- Phlebology Physician
- Gaston, SC
National Provider Identifier
1942105952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- EMPIRE MOBILE LAB
- Practice address
- 1969 Glenn Rd
Gaston, SC 29053-9393 - Phone
- (803) 239-7513
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- 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
- Ms. Amanda Scott
- Title
- Director
- Phone
- (803) 239-7513
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | NU | Primary |
Addresses
Primary practice location
1969 Glenn Rd
Gaston, SC 29053-9393
Mailing address
1969 Glenn Rd
Gaston, SC 29053-9393
Phone (803) 239-7513
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Medical Laboratory
- Gaston, SC
- NPI 1578279972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1942105952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 GLENN RD",
"city": "GASTON",
"state": "SC",
"postal_code": "290539393",
"telephone_number": "803-239-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 GLENN RD",
"city": "GASTON",
"state": "SC",
"postal_code": "290539393",
"telephone_number": "803-239-7513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE MOBILE LAB",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-239-7513",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaston, SC
- Carla Daniels, LSW
- Charles E Davis, RPH, DPH, MD
- Katasha Davis
- Sandy Drawdy
- Elg Learning Group, LLC
- Fresenius Medical Care Cna Kidney Centers, LLC (Fresenius Kidney Care Gaston)
- Gaston Health Associates (Gaston Family Pharmacy)
- Gaston Health Associates Inc (Gaston Family Pharmacy)
- Lynne Carol Goudlock, LPN
- Healthstat Onsite Clinic Zeus Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.