MEDICARE: CYM MOBILE LABS

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	246QL0900X	Laboratory Management Specialist/Technologist

General Provider Information

NPI Number	:	1750257572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYM MOBILE LABS

Provider Business Mailing Address
First Line	:	5864 GAGSTATTER RD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34291-4962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5864 GAGSTATTER RD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34291-4962
Country	:	US
Telephone Number	:	908-405-0310
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROL TIRADOR
Credential	:
Telephone Number	:	908-405-0310

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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