EASY GO MOBILE LAB SERVICE LLC NPI 1538837349

NPI Information

  • NPI: 1538837349
  • Provider Name: EASY GO MOBILE LAB SERVICE LLC
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Organization
  • CLIA Number: 11D2264060
  • Address: 1775 PARKER RD SE
    CONYERS, GA
    ZIP 30094
  • Phone: (706) 438-4747

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NPI Details

EASY GO MOBILE LAB SERVICE LLC is a phlebotomy technician pathology in Conyers, GA. EASY GO MOBILE LAB SERVICE LLC NPI is 1538837349. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1775 PARKER RD SE
CONYERS, GA
ZIP 30094-654
Phone: (706) 438-4747
Fax: (706) 262-2824

The provider's authorized official is Crystal Hardy .
The authorized official title is Ceo/phlebotomist and has the following contact phone number (706) 438-4747.

The CLIA number assigned to this NPI record is 11D2264060 - other - mobile lab draw station with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2021 and was last updated on 9/6/2021.

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
1246RP1900XTechnician, PathologyPhlebotomyYes

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: 11/21/2025

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