MEDICARE: MOBILE LABS PRO

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	251E00000X	Home Health Agency
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1548153349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE LABS PRO

Provider Business Mailing Address
First Line	:	1733 MIDWAY MALL
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-2478
Country	:	US
Telephone Number	:	440-328-8125
Fax Number	:

Provider Business Practice Location Address
First Line	:	7183 KENSSINGTON DRIVE
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039
Country	:	US
Telephone Number	:	440-328-8125
Fax Number	:	440-709-1615

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	KARA TEREPKA
Credential	:	RN
Telephone Number	:	440-328-8125

Provider Enumeration Date	:	05/30/2025
Last Update Date	:	08/12/2025

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