Organization Active NPI

Jes Mobile Labs to Go LLC

  • Phlebotomy Technician
  • Montgomery, AL
National Provider Identifier
1972154284
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
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

Updated by the provider on Apr 17, 2025

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20250729004147 AL Part B Supplier - Independent Clinical Laboratory 1456868967 Practice locations: Montgomery, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2170776Jes Mobile Labs to Go LLC1111 John Overton Drive, Montgomery, AL 36110Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jes Mobile Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.