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1679387757 NPI number — MOBILE MED SERVICES

NPI Number: 1679387757
Health Care Provider/Practitioner: MOBILE MED SERVICES

Information about “1679387757” NPI (MOBILE MED SERVICES) exists in 1679387757 in HTML format HTML  |  1679387757 in plain Text format TXT  |  1679387757 in PDF (Portable Document Format) PDF  |  1679387757 in an XML format XML  formats.

NPI Number : 1679387757 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679387757",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MOBILE MED SERVICES",
    "ParentOrgTIN": null,
    "OrgName": "MOBILE MED SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3440 STANLEY BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLEASANTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94566-4904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-871-8279",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3420 STANLEY BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLEASANTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94566-6239",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "925-871-8279",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/06/2025",
    "LastUpdateDate": "02/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANNING",
    "AuthorizedOfficialFirstName": "CHARITY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "LICENSED PHLEBOTOMIST/ CCMA",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "925-871-8279",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "246QL0900X",
          "TaxonomyName": "Laboratory Management Specialist/Technologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246R00000X",
          "TaxonomyName": "Pathology Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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