ONE LAB MOBILE, LLC (NPI# 1124474143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124474143 |
| Entity Type | Organization |
| Organization Name | ONE LAB MOBILE, LLC |
| Practice Address |
2405 Cainwood Ct Conyers GA 30094-8203 |
| Practice Telephone | 7703562916 |
| Practice Fax Number | 7702854105 |
| Mailing Telephone | 7703562916 |
| Mailing Fax Number | 7702854105 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | MS. PAMELA ANNETTE SMITH (OWNER) |
| Authorized Official Telephone | 7703562916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | HO15-01256 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2405 CAINWOOD CT |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436595 | Latalia Y Chambers | Technician, Other | 100 E 19th St Sw Apt B, Rome, GA 30161-6323 | 2020-01-22 |
| 1629543772 | Ashley Keller | Technician, Other | 723b Industrial Park Rd, Evans, GA 30809-3680 | 2018-10-04 |
| 1760962724 | Keysia Johnson | Technician, Other | 907 Fawnfield Dr, Monroe, GA 30656-7010 | 2018-08-20 |
| 1093255192 | Lousy Endings | Technician, Other | 3911 Mary Eliza Trce Nw Ste 250, Marietta, GA 30064-1086 | 2017-03-08 |
| 1962957100 | Ralph Lovett | Technician, Other | 821 E 31st St, Savannah, GA 31401-7701 | 2016-08-17 |
| 1184082885 | Amity Jordan | Technician, Other | 1055 Chartley Dr Sw, Lilburn, GA 30047-5477 | 2016-02-09 |
| 1326441205 | Marie Romain | Technician, Other | 4430 Tilly Mill Rd # At1102, Dunwoody, GA 30360-2143 | 2014-10-06 |
| 1902233976 | Joshua Steven Walker | Technician, Other | 2108 Pine St Apt C, Fort Gordon, GA 30905-6211 | 2013-10-04 |
| 1003243593 | David Lee Bedford | Technician, Other | 4756 Billie J Dr, Augusta, GA 30909-9171 | 2013-09-30 |
| 1598192015 | Rebecca Chalker Paden | Technician, Other | 368 W Pike St Ste 107, Lawrenceville, GA 30046-3240 | 2013-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.