Provider Demographics
NPI:1194422576
Name:JH MOBILE LABS LLC
Entity type:Organization
Organization Name:JH MOBILE LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:980-277-0158
Mailing Address - Street 1:3540 TORINGDON WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4650
Mailing Address - Country:US
Mailing Address - Phone:980-277-0158
Mailing Address - Fax:704-445-7434
Practice Address - Street 1:3540 TORINGDON WAY STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4650
Practice Address - Country:US
Practice Address - Phone:980-277-0158
Practice Address - Fax:704-445-7434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory