Healthcare Provider Details

I. General information

NPI: 1891604872
Provider Name (Legal Business Name): TEKIRA Y MOBLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E MAIN ST STE 201
ROCK HILL SC
29730-4540
US

IV. Provider business mailing address

116 E MAIN ST STE 201
ROCK HILL SC
29730-4540
US

V. Phone/Fax

Practice location:
  • Phone: 803-829-0118
  • Fax:
Mailing address:
  • Phone: 803-829-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberG3C9J4L2
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: