MOBIL LAB FOR ALL INC (NPI# 1770103699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770103699 |
| Entity Type | Organization |
| Organization Name | MOBIL LAB FOR ALL INC |
| Practice Address |
1053 Sw 12th St Boca Raton FL 33486-5490 |
| Mailing Address |
1053 Sw12th St Boca Raton FL 33486 |
| Practice Telephone | 5613867182 |
| Mailing Telephone | 5613867182 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | DR. ROSA I RIVERA (PROPRIETOR) |
| Authorized Official Telephone | 5613867182 |
| Authorized Official Credential | ASCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | 26988979 | 01 |
| Street Address |
1053 SW 12TH ST |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-5490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975823 | Jaime M. Plana | Pathology | 1053 Sw 12th St, Boca Raton, FL 33486-5490 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070340 | Baptist Surgery and Endoscopy Centers LLC | Clinic/Center | 1905 Clint Moore Rd Ste 115, Boca Raton, FL 33496-2659 | 2017-08-23 |
| 1235433749 | 66101 Sunset Strip,llc | Clinic/Center | 40 South East 5th Street, Suite 406, Boca Raton, FL 33432 | 2010-12-28 |
| 1649438912 | Bosley Medical Group | Clinic/Center | 5355 Town Center Rd, Ste 402, Boca Raton, FL 33486-1005 | 2008-05-23 |
| 1255486494 | Ambulatory Surgery Center of Boca Raton, LLC | Clinic/Center | 1905 Clintmoore Road, Suite 300, Boca Raton, FL 33496 | 2007-01-25 |
| 1457323107 | Boca Raton Ophthalmology Asc LLC | Clinic/Center | 950 Nw 13th St, Boca Raton, FL 33486-2310 | 2006-02-06 |
| 1225398571 | Schuster Plastic Surgery Center LLC | Clinic/Center | 1905 Clint Moore Rd, Suite 101, Boca Raton, FL 33496-2696 | 2012-05-21 |
| 1952689911 | Sanctuary Surgical & Anesthesia Center | Clinic/Center | 40 Se 5th St, Suite 406, Boca Raton, FL 33432-6003 | 2011-07-25 |
| 1649584806 | Surgicare of Boca Raton LLC | Clinic/Center | 1905 Clint Moore Rd, Boca Raton, FL 33496-2658 | 2010-07-29 |
| 1679760292 | Surgical Skin Specialists of South Florida LLC | Clinic/Center | 951 Nw 13th St, Suite 4-b, Boca Raton, FL 33486-2359 | 2007-09-27 |
| 1164563474 | Berman Oakwood Company, LLC | Clinic/Center | 670 Glades Rd, Ste. 240, Boca Raton, FL 33431-6461 | 2007-02-09 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
Please comment or provide details below to improve the information on MOBIL LAB FOR ALL INC.
| 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.