MEDICARE: ALAS MOBILE CARE LLC

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	246QL0900X	Laboratory Management Specialist/Technologist

General Provider Information

NPI Number	:	1316814106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAS MOBILE CARE LLC

Provider Business Mailing Address
First Line	:	3145 LYNN CREEK PKWY APT 1209
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3145 LYNN CREEK PKWY APT 1209
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-4959
Country	:	US
Telephone Number	:	214-447-5784
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIANET ENAMORADO
Credential	:
Telephone Number	:	214-447-5784

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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Directions to “ALAS MOBILE CARE LLC ” Practice Location

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