Phlebotomy Mobile Labs LLC

Clinic/Center in Baltimore, MD. Organization (NPI-2).

NPI number1760004261

StatusActive

Last updated in NPPESFeb 17, 2022

Details

NPI: 1760004261
Entity type: Organization (NPI-2)
Legal business name: Phlebotomy Mobile Labs LLC
Organization subpart: No
Enumeration date: May 7, 2020
Certification date: Feb 17, 2022
Last updated: Feb 17, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
246RP1900X	Technician, Pathology, Phlebotomy	–	–

Practice location

3600 Pulaski Hwy
Baltimore, MD 21224-1534

Phone 240-229-7043

Mailing address

7220 Dorchester Woods Ln
Hanover, MD 21076-2038

Phone 800-944-4860

Authorized official

Keisha Davis
Ceo
2402297043

Is something wrong?

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