Mobile Dna Direct LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE DNA DIRECT LLC

Practice address

3901 W 86TH St Ste 360
Indianapolis, IN 46268-1799

Phone

(866) 201-2345

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Miss Brittany Tashae Perry

Title

Laboratory Director/ Owner

Phone

(866) 201-2345

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1962292276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W 86TH ST STE 360",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681799",
            "telephone_number": "866-201-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 86TH ST STE 360",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681799",
            "telephone_number": "866-201-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DNA DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "TASHAE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "866-201-2345",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.