Healthcare Provider Details

I. General information

NPI: 1487538245
Provider Name (Legal Business Name): GLOBAL MOBILE LAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7627 LAKE ST STE 206
RIVER FOREST IL
60305-1878
US

IV. Provider business mailing address

7627 LAKE ST STE 206
RIVER FOREST IL
60305-1878
US

V. Phone/Fax

Practice location:
  • Phone: 773-343-6512
  • Fax: 773-343-6512
Mailing address:
  • Phone: 773-343-6512
  • Fax: 773-343-6512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DENISE MOORE
Title or Position: PHLEBOTOMIST / SPECIMEN COLLECTOR
Credential:
Phone: 773-343-6512