MOBILE STICK (NPI# 1396230074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396230074 |
| Entity Type | Organization |
| Organization Name | MOBILE STICK |
| Practice Address |
23 Ristona Dr Savannah GA 31419-6220 |
| Mailing Address |
Po Box 1033 Rincon GA 31326-1033 |
| Practice Telephone | 9124418935 |
| Mailing Telephone | 9124418935 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | LETARSHA BROWN (CERTIFIED PHLEBOTOMIST/PCT) |
| Authorized Official Telephone | 9124179568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOBILE STICK, LLC | 108 San Fernando Blvd, Savannah, GA 31419-1106 |
| Street Address |
23 RISTONA DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765504 | Letarsha Brown | Technician, Pathology | 27 Amanda Dr, Savannah, GA 31406-8917 | 2018-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576485 | Angels Mobile Phlebotomy Services LLC | Technician, Pathology | 185 Kirby Ln, Athens, GA 30606-1683 | 2020-10-22 |
| 1164021101 | Marquetta Nolbert | Technician, Pathology | 665 Castlebrooke Way, Lawrenceville, GA 30045-2665 | 2020-10-21 |
| 1528666518 | Shmeika Wilcox | Technician, Pathology | 3608 Stone Rd Sw, Atlanta, GA 30331-5306 | 2020-10-13 |
| 1972101913 | Revonia Lynn | Technician, Pathology | 4630 Rolling Brook Ct, Union City, GA 30291-6524 | 2020-10-12 |
| 1598362279 | Sheryl White | Technician, Pathology | 574 Scotland Dr, Dallas, GA 30132-2625 | 2020-10-06 |
| 1720685449 | Dominique Hyatt | Technician, Pathology | 1414 Ericas Pointe Dr, Winder, GA 30680-8006 | 2020-10-06 |
| 1922610799 | Mccane Labs LLC | Technician, Pathology | 1546a Rocky Creek Rd Ste A, Macon, GA 31206-3581 | 2020-08-21 |
| 1063036051 | Kianna Tymoria Boone | Technician, Pathology | 608 S Lee St, Fitzgerald, GA 31750-3217 | 2020-06-04 |
| 1568086031 | Antarnisear Brantley | Technician, Pathology | 311 Scott St Sw Apt 118, Atlanta, GA 30311-1814 | 2020-06-01 |
| 1568085330 | Monya Moreland | Technician, Pathology | 1008 Tree Terrace Pkwy, Austell, GA 30168-5544 | 2020-05-27 |
| 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.