Southern Mobile Labs

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SOUTHERN MOBILE LABS

Practice address

4132 Renova Ave
North Port, FL 34286-4281

Phone

(941) 457-3591

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Janis Marie Spurlock

Title

Phlebotomist

Phone

(941) 457-3591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1942800685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 RENOVA AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342864281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 RENOVA AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342864281",
            "telephone_number": "941-457-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MOBILE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "941-457-3591"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in North Port, FL
• Providers in North Port, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.