Organization Active NPI

Mobile Laboratory USA LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1992388631
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOBILE LABORATORY USA LLC
Practice address
2601 W Claremont St Apt 2079
Phoenix, AZ 85017-6208
Phone
(623) 999-4220
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Arlety Martinez PenaNPI 1437741949
Title
Owner
Phone
(623) 999-4220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2601 W Claremont St Apt 2079
Phoenix, AZ 85017-6208

Mailing address

2601 W Claremont St Apt 2079
Phoenix, AZ 85017-6208

Other names 1

  • Mobile laboratory USA LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250115000444 AZ Part B Supplier - Independent Clinical Laboratory 0446788749 Practice locations: Phoenix, AZ

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
03D2252729Mobile Laboratory USA LLC2601 W Claremont St Apt 2079, Phoenix, AZ 85017Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1992388631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W CLAREMONT ST APT 2079",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850176208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W CLAREMONT ST APT 2079",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850176208",
            "telephone_number": "623-999-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LABORATORY USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ PENA",
        "authorized_official_first_name": "ARLETY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-999-4220"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile laboratory USA LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.