MY MOBILE LAB LLC (NPI# 1275154841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275154841 |
| Entity Type | Organization |
| Organization Name | MY MOBILE LAB LLC |
| Practice Address |
429 E Vermont St Ste 110 Indianapolis IN 46202-3685 |
| Mailing Address |
Po Box 586 Galloway OH 43119-0586 |
| Practice Telephone | 3175590950 |
| Practice Fax Number | 3179363028 |
| Mailing Telephone | 7659697841 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | STEVE MARTIN (CEO) |
| Authorized Official Telephone | 3176706635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
429 E VERMONT ST STE 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-3685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124483078 | My Rehab and Wellness LLC | Occupational Therapist | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2015-12-19 |
| 1831790864 | My Mobile Diagnostics Idtf LLC | Physiological Laboratory | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-11-05 |
| 1407473945 | Heidi Rowles | Occupational Therapy Assistant | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-07-01 |
| 1902420771 | Kaitlyn M Depinet | Nurse Practitioner | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-06-08 |
| 1306467048 | My Mobile Md Rounding Providers Inc | Psychiatry & Neurology | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2020-05-05 |
| 1629623913 | My Mobile Md Northern Indiana | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2019-08-05 |
| 1588122162 | Physician Solutions | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2019-03-04 |
| 1033628680 | My Mobile Diagnostics LLC | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2017-09-27 |
| 1225495716 | My Mobile Md LLC | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1720409154 | Patients Choice Laboratories of Indiana, LLC | Clinical Medical Laboratory | 7026 Corporate Dr, Indianapolis, IN 46278-1937 | 2014-01-03 |
| 1427396480 | Labverdict | Clinical Medical Laboratory | 2311 Duke St, Indianapolis, IN 46205-2239 | 2013-01-26 |
| 1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
| 1194033092 | State of Indiana Auditor of State | Clinical Medical Laboratory | 550 W 16th St Ste B, Indianapolis, IN 46202-2218 | 2010-09-14 |
| 1265755136 | Indiana State Department of Health | Clinical Medical Laboratory | 550 W 16th Street, Sutie B, Indianapolis, IN 46202-7804 | 2010-03-08 |
| 1588996870 | Martin Center, Inc. | Clinical Medical Laboratory | 3549 N College Ave, Indianapolis, IN 46205-3733 | 2010-02-11 |
| 1558595124 | In Sook Seo | Clinical Medical Laboratory | 1555 E 79th St, Indianapolis, IN 46240-2702 | 2009-05-11 |
| 1235389297 | Indiana University School of Medicine, Department of Pathology and Lab | Clinical Medical Laboratory | 635 Barnhill Dr # Ms 128, Indianapolis, IN 46202-5126 | 2008-09-26 |
| 1770732679 | Pa Labs LLC | Clinical Medical Laboratory | 7750 Zionsville Rd Ste 450, Indianapolis, IN 46268-2195 | 2008-09-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.