Healthcare Provider Details

I. General information

NPI: 1356028682
Provider Name (Legal Business Name): EFFICIENT MOBILE LABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 E LABURNUM AVE STE 3 #192
RICHMOND VA
23222-2134
US

IV. Provider business mailing address

901 STAUNTON AVE NW
ROANOKE VA
24016-1039
US

V. Phone/Fax

Practice location:
  • Phone: 540-759-6040
  • Fax:
Mailing address:
  • Phone: 540-759-6040
  • 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: NIYA L MCCADEN
Title or Position: PHLEBOTOMIST
Credential:
Phone: 540-759-6040