Provider Demographics
NPI:1093479073
Name:MCARTHUR MOBILE LABS
Entity Type:Organization
Organization Name:MCARTHUR MOBILE LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:CERT PHLEBOTOMIST
Authorized Official - Phone:267-961-9217
Mailing Address - Street 1:4530 MAGEE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-2738
Mailing Address - Country:US
Mailing Address - Phone:267-961-9217
Mailing Address - Fax:
Practice Address - Street 1:4530 MAGEE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-2738
Practice Address - Country:US
Practice Address - Phone:267-961-9217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty