Healthcare Provider Details

I. General information

NPI: 1255260006
Provider Name (Legal Business Name): KTS MOBILE LABS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5456 NARCISSUS AVE
BALTIMORE MD
21215-4538
US

IV. Provider business mailing address

5456 NARCISSUS AVE
BALTIMORE MD
21215-4538
US

V. Phone/Fax

Practice location:
  • Phone: 443-960-3239
  • Fax:
Mailing address:
  • Phone: 202-981-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: NICKOLA PHILLIPS
Title or Position: CEO/OWNER
Credential: CPT
Phone: 443-960-3239