Excel Mobile Laboratory LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

EXCEL MOBILE LABORATORY LLC

Practice address

118 S Lake Cir
Monroe, LA 71203-6906

Phone

(318) 348-9345

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Shassica Jones

Title

Owner

Phone

(318) 348-9345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1972230514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S LAKE CIR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S LAKE CIR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036906",
            "telephone_number": "318-348-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MOBILE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHASSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-348-9345"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.