Provider Demographics
NPI:1518649086
Name:MOBIPHLEB L L C
Entity Type:Organization
Organization Name:MOBIPHLEB L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZARIEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-715-7306
Mailing Address - Street 1:333 S JUNIPER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4924
Mailing Address - Country:US
Mailing Address - Phone:855-844-2244
Mailing Address - Fax:760-933-4333
Practice Address - Street 1:333 S JUNIPER ST STE 200
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4924
Practice Address - Country:US
Practice Address - Phone:855-844-2244
Practice Address - Fax:760-933-4333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory