Provider Demographics
NPI:1265025316
Name:MEDICAL MOBILE LABS P.L.L.C
Entity Type:Organization
Organization Name:MEDICAL MOBILE LABS P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LUCRETIA
Authorized Official - Last Name:PEOPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-769-1502
Mailing Address - Street 1:5416 1ST DR W
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-3498
Mailing Address - Country:US
Mailing Address - Phone:206-769-1502
Mailing Address - Fax:
Practice Address - Street 1:5416 1ST DR W
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-3498
Practice Address - Country:US
Practice Address - Phone:206-769-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory