Provider Demographics
NPI:1437800984
Name:MOBILE HEALTH LAB SERVICES LLC
Entity Type:Organization
Organization Name:MOBILE HEALTH LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAFAY
Authorized Official - Middle Name:T
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-620-2173
Mailing Address - Street 1:4014 MEDINA RD # 1044
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4568
Mailing Address - Country:US
Mailing Address - Phone:330-620-2173
Mailing Address - Fax:
Practice Address - Street 1:4014 MEDINA RD # 1044
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4568
Practice Address - Country:US
Practice Address - Phone:330-620-2173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty