MEDICARE: MURRY MOBILE LAB LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1184517328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURRY MOBILE LAB LLC

Provider Business Mailing Address
First Line	:	1004 COLLEGE BLVD
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3300
Country	:	US
Telephone Number	:	785-269-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 WAKARUSA DR STE E104
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3913
Country	:	US
Telephone Number	:	785-813-2069
Fax Number	:

Authorized Official
Title or Position	:	CEO / OWNER
Name	:	SHARON MURRY
Credential	:
Telephone Number	:	785-269-1824

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	05/29/2025

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Directions to “MURRY MOBILE LAB LLC ” Practice Location

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