Provider Demographics
NPI:1396406781
Name:FROM THE HEART MOBILE LABS LLC
Entity Type:Organization
Organization Name:FROM THE HEART MOBILE LABS LLC
Other - Org Name:FROM THE HEART MOBILE LABS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANYELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-295-5939
Mailing Address - Street 1:2372 MORSE AVE # 994
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6234
Mailing Address - Country:US
Mailing Address - Phone:424-295-5939
Mailing Address - Fax:248-294-1266
Practice Address - Street 1:2372 MORSE AVE # 994
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6234
Practice Address - Country:US
Practice Address - Phone:424-295-5939
Practice Address - Fax:248-294-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty
No2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical ToxicologyGroup - Multi-Specialty