Healthcare Provider Details

I. General information

NPI: 1578491148
Provider Name (Legal Business Name): CHRISTEN MACHELA MOBLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MOBLEY MEDLAB SOLUTIONS LLC

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 LANIER AVE W STE 200
FAYETTEVILLE GA
30214-7443
US

IV. Provider business mailing address

320 LANIER AVE W STE 200
FAYETTEVILLE GA
30214-7443
US

V. Phone/Fax

Practice location:
  • Phone: 470-207-4960
  • Fax:
Mailing address:
  • Phone: 470-207-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: