SOUTHERN MOBILE LABS


Address: 4132 Renova Ave, North Port, FL 34286-4281
Phone: 9414573591

SOUTHERN MOBILE LABS (NPI# 1942800685) 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) 1942800685
Entity Type Organization
Organization Name SOUTHERN MOBILE LABS
Practice Address 4132 Renova Ave
North Port
FL 34286-4281
Practice Telephone 9414573591
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Authorized Official Name JANIS MARIE SPURLOCK (PHLEBOTOMIST)
Authorized Official Telephone 9414573591
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4132 RENOVA AVE
City NORTH PORT
State FL
Zip Code 34286-4281

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NPI Name Taxonomy Address Enumeration
1144743188 Kayla R Cicchella Dentist 1500 Price Creek Way, North Port, FL 34286 2017-07-21
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1952662421 Chyrell Furog Physical Therapist 3662 Island Club Dr, Apt 6, North Port, FL 34286 2012-05-31
1619071396 City of North Port Ambulance 4980 City Center Blvd, North Port, FL 34286 2006-09-12
1043850266 Devon Snedeker Nurse Practitioner 1668 Nicollett Ave, North Port, FL 34286-1904 2020-01-15
1467831594 Therapeutic Hope Counselor 3750 Oceanside St, North Port, FL 34286-1981 2015-05-21
1164748885 Stacy Landry Behavioral Analyst 4160 Oceanside St, North Port, FL 34286-2014 2010-04-20
1952948275 Therapy Ever After Behavioral Analyst 4160 Oceanside St, North Port, FL 34286-2014 2019-12-05
1144786773 Pediatric Behavioral Services Behavioral Analyst 4160 Oceanside St, North Port, FL 34286-2014 2019-02-19
1316589930 Daimon A Glenn Behavior Technician 3723 Cinderella Rd, North Port, FL 34286-2066 2019-10-15
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215536214 West Mobile Phlebotomy Corporation Technician, Pathology 807 Glencove Ave Nw, Palm Bay, FL 32907-7036 2020-10-21
1689280463 Linda Snyder Technician, Pathology 611 N Wymore Rd Ste 220, Winter Park, FL 32789-2843 2020-09-17
1609482686 Rachel Marcano Cruz Technician, Pathology 890 Barris Ln, Rockledge, FL 32955-4102 2020-09-16
1184238636 Chantelle Debejare Technician, Pathology 5591 Sw 181st Ct, Dunnellon, FL 34432-2157 2020-09-02
1407467863 Carole D Brown Technician, Pathology 4943 Docner St, New Port Richey, FL 34652-3424 2020-08-11
1356950711 Maria Bordones Technician, Pathology 111 Barbera Dr, Davenport, FL 33897-4456 2020-07-30
1902414253 Heather M Palonis Technician, Pathology 335 Moray Dr Sw, Palm Bay, FL 32908-6423 2020-07-22
1861000341 Vonetta Barnwell Technician, Pathology 8019 Tompkins Sq, Orlando, FL 32807-8535 2020-07-21
1114545613 Busy B Mobile LLC Technician, Pathology 2508 Belmont Ln # 2508, North Lauderdale, FL 33068-4296 2020-07-10
1598380115 Caregiverland Inc Technician, Pathology 4368 S Kirkman Rd Apt 203, Orlando, FL 32811-3111 2020-06-09
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Competitor

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City NORTH PORT
Zip Code 34286

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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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