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NPI Code Detail

MEDICARE: FAMLINC MOBILE LABS LLC

MEDICARE: FAMLINC MOBILE LABS 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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1356294300
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMLINC MOBILE LABS LLC
Provider Business Mailing Address
First Line : 55 E CASTLE ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5448
Country : US
Telephone Number : 925-206-8278
Fax Number :
Provider Business Practice Location Address
First Line : 55 E CASTLE ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5448
Country : US
Telephone Number : 925-206-8278
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LINDA LOPEZ
Credential : ROBINSON
Telephone Number : 925-206-8278
Provider Enumeration Date : 02/18/2026
Last Update Date : 04/07/2026

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Directions to “FAMLINC MOBILE LABS LLC ” Practice Location

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