Active NPI
Jes Mobile Labs to Go LLC
- Phlebotomy Technician
- Montgomery, AL
National Provider Identifier
1972154284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- JES MOBILE LABS TO GO LLC
- Practice address
- 1111 John Overton Dr
Montgomery, AL 36110-3234 - Phone
- (334) 647-1183
- Fax
- (334) 593-1559
- NPI assigned
- Sep 27, 2019
- 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
- Jessica Rogers
- Title
- Owner
- Phone
- (334) 538-2988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1111 John Overton Dr
Montgomery, AL 36110-3234
Mailing address
1111 John Overton Dr
Montgomery, AL 36110-3234
Phone (334) 647-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250729004147 | AL | Part B Supplier - Independent Clinical Laboratory | 1456868967 | Practice locations: Montgomery, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2170776 | Jes Mobile Labs to Go LLC | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Jes Mobile Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Montgomery, AL
- NPI 1174188312
Locations
2629 Eastern Blvd
Montgomery, AL 36117
Phone (334) 387-0877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1972154284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 JOHN OVERTON DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361103234",
"telephone_number": "334-647-1183",
"fax_number": "334-593-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 JOHN OVERTON DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361103234",
"telephone_number": "334-647-1183",
"fax_number": "334-593-1559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JES MOBILE LABS TO GO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-27",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-538-2988"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.