Organization Active NPI

Mobile Covid Testing LLC

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1942883855
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOBILE COVID TESTING LLC
Doing business as
Mobile Covid Testing LLC
Practice address
5726 Dumfries Dr
Houston, TX 77096-4819
Phone
(214) 400-3130
NPI assigned
Apr 29, 2021
Last updated
Aug 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Authorized official

Name
Shmuel Rottman
Title
Owner
Phone
(214) 400-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5726 Dumfries Dr
Houston, TX 77096-4819

Mailing address

5726 Dumfries Dr
Houston, TX 77096-4819
Phone (832) 402-7812

Other identifiers 1

IdentifierTypeStateIssuer
45D2216881OtherTXCLIA

Other names 1

  • Mobile Covid Testing LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1942883855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 DUMFRIES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964819",
            "telephone_number": "832-402-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 DUMFRIES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964819",
            "telephone_number": "214-400-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE COVID TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "ROTTMAN",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-400-3130"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2216881",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Covid Testing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.