MEDICARE: MCARTHUR MOBILE LABS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1093479073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCARTHUR MOBILE LABS

Provider Business Mailing Address
First Line	:	4530 MAGEE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2738
Country	:	US
Telephone Number	:	267-961-9217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 MAGEE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2738
Country	:	US
Telephone Number	:	267-961-9217
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NICHOLE LEIGH MCARTHUR
Credential	:	CERT. PHLEBOTOMIST
Telephone Number	:	267-961-9217

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	10/26/2021

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