Healthcare Provider Details

I. General information

NPI: 1861301665
Provider Name (Legal Business Name): HOPE INSIDE MOBILE TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 BUNNLEVEL ERWIN RD
ERWIN NC
28339-8771
US

IV. Provider business mailing address

PO BOX 12
AUTRYVILLE NC
28318-0012
US

V. Phone/Fax

Practice location:
  • Phone: 919-400-0731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: TIFFANI PEARSALL
Title or Position: OWNER
Credential:
Phone: 919-400-0731