Healthcare Provider Details

I. General information

NPI: 1679387757
Provider Name (Legal Business Name): MOBILE MED SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 STANLEY BLVD
PLEASANTON CA
94566-6239
US

IV. Provider business mailing address

3440 STANLEY BLVD
PLEASANTON CA
94566-4904
US

V. Phone/Fax

Practice location:
  • Phone: 925-871-8279
  • Fax:
Mailing address:
  • Phone: 925-871-8279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246R00000X
TaxonomyPathology Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. CHARITY MANNING
Title or Position: LICENSED PHLEBOTOMIST/ CCMA
Credential:
Phone: 925-871-8279