ELITE MOBILE LABS, LLC


Address: 5824 Lake Pointe Village Cir, 501, Orlando, FL 32822-3570
Phone: 4077013484

ELITE MOBILE LABS, LLC (NPI# 1689025660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689025660
Entity Type Organization
Organization Name ELITE MOBILE LABS, LLC
Practice Address 5824 Lake Pointe Village Cir
501
Orlando
FL 32822-3570
Practice Telephone 4077013484
Mailing Telephone 4077013484
Enumeration Date 2016-06-30
Last Update Date 2016-06-30
Authorized Official Name ELIS J HERNANDEZ (CEO)
Authorized Official Telephone 4077013484
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 5824 LAKE POINTE VILLAGE CIR
501
City ORLANDO
State FL
Zip Code 32822-3570

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1457808529 Rachel Richardson Counselor 5758 S. Seminole Blvd., Orlando, FL 32822 2016-09-07
1215392154 Teresita Henao Nurse Practitioner 900 S Goldenrod Rd Ste B, Orlando, FL 32822 2015-12-18
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City ORLANDO
Zip Code 32822

Improve Information

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Dataset Information

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.

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