Healthcare Provider Details

I. General information

NPI: 1588587422
Provider Name (Legal Business Name): FLASHXPRESS MOBILE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11464 E DEERTAIL LANE
DEWEY AZ
86327
US

IV. Provider business mailing address

11464 E DEERTAIL LANE
DEWEY AZ
86327
US

V. Phone/Fax

Practice location:
  • Phone: 619-929-5629
  • Fax: 928-441-8775
Mailing address:
  • Phone: 619-929-5629
  • Fax: 928-441-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PAMELA L CARTER
Title or Position: OWNER/PHLEBOTOMY TECHNICIAN CPT
Credential: NPCE
Phone: 619-929-5629