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MOBIL LAB FOR ALL INC NPI 1770103699


NPI Information

NPI: 1770103699
Provider Name: MOBIL LAB FOR ALL INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D2164726

Address:
1053 SW 12TH ST
BOCA RATON, FL
ZIP 33486
Phone: (561) 386-7182
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MOBIL LAB FOR ALL INC is an ambulatory surgical clinic center in Boca Raton, FL. MOBIL LAB FOR ALL INC NPI is 1770103699. The provider is registered as an organization entity type.

The provider's business location address is:

1053 SW 12TH ST
BOCA RATON, FL
ZIP 33486-490
Phone: (561) 386-7182

The provider's authorized official is Rosa I Rivera .
The authorized official title is Proprietor and has the following contact phone number (561) 386-7182.

The CLIA number assigned to this NPI record is 10D2164726 - mobile lab with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/21/2020 and was last updated on 2/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126988979OTHERFLORIDALICENSE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.