Provider Demographics
NPI:1528952603
Name:HUMMINGBIRD MOBILE LAB LLC
Entity type:Organization
Organization Name:HUMMINGBIRD MOBILE LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NADEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMIST
Authorized Official - Phone:864-778-8029
Mailing Address - Street 1:6101 CALHOUN MEMORIAL HWY STE 10656101
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3780
Mailing Address - Country:US
Mailing Address - Phone:864-778-8029
Mailing Address - Fax:864-713-9820
Practice Address - Street 1:6101 CALHOUN MEMORIAL HWY STE 10656101
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3780
Practice Address - Country:US
Practice Address - Phone:864-778-8029
Practice Address - Fax:864-713-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty