Active NPI
Mobile Diagnostic Laboratory, Inc.
- Clinical Medical Laboratory
- Pine Bluff, AR
National Provider Identifier
1992643597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MOBILE DIAGNOSTIC LABORATORY, INC.
- Practice address
- 703 West Pullen Avenue
Pine Bluff, AR 71601-3441 - Phone
- (870) 433-0096
- Fax
- (870) 433-0686
- NPI assigned
- Mar 24, 2026
- Organization subpart
- Yes
- Parent organization
- MOBILE DIAGNOSTIC LABORATORY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Howard Trotter, M.D.
- Title
- Director
- Phone
- (870) 433-0096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
703 West Pullen Avenue
Pine Bluff, AR 71601-3441
Mailing address
703 West Pullen Avenue
Pine Bluff, AR 71601-3441
Phone (870) 433-0096
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 |
|---|---|---|---|
| 04D2254057 | Mobile Diagnostic Laboratory Inc | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider Directory- Part of
- Mobile Diagnostic Laboratory Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1992643597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 WEST PULLEN AVENUE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716013441",
"telephone_number": "870-433-0096",
"fax_number": "870-433-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 WEST PULLEN AVENUE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716013441",
"telephone_number": "870-433-0096",
"fax_number": "870-433-0686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE DIAGNOSTIC LABORATORY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MOBILE DIAGNOSTIC LABORATORY, INC.",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"status": "A",
"authorized_official_last_name": "TROTTER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "870-433-0096",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.