MOBILE ELS LLC NPI 1801518998

NPI Information

NPI: 1801518998
Provider Name: MOBILE ELS LLC
Classification: Technician, Pathology - 246RP1900X
Entity Type: Organization

Specialization: Phlebotomy

CLIA Number: 14D2300305

Address:
133 ROSETTE DR
BELLEVILLE, IL
ZIP 62220
Phone: (618) 545-4018
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MOBILE ELS LLC is a phlebotomy technician pathology in Belleville, IL. MOBILE ELS LLC NPI is 1801518998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

133 ROSETTE DR
BELLEVILLE, IL
ZIP 62220-355
Phone: (618) 545-4018
Fax: (618) 545-4018

The provider's authorized official is Jeshon Green .
The authorized official title is Ceo/mobile Phlebotomist and has the following contact phone number (618) 545-4018.

The CLIA number assigned to this NPI record is 14D2300305 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2022 and was last updated on 2/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246RP1900X	Technician, Pathology	Phlebotomy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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