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General NPI Number Information
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NPI Number | 1962354993
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY MOBILE LABS
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1125 ATLANTIC AVE STE 649
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-4807
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Country | US
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Telephone | 609-619-0380
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WRANGLEBORO RD STE 20
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City | MAYS LANDING
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State | NJ
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Zip | 08330-4331
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Country | US
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Telephone | 609-619-0380
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YESSENIA CASTRO
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Credential | PHLEBOTOMIST/ CEO
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Telephone | 609-665-3268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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