MOBILE VASCULAR LABS LLC
NPI 1124354501
Specialist in Mobile, AL

Active since October 20, 2009CLIA 01D2152563 · Waiver
1551 OLD SHELL RD, MOBILE, AL 36604(251) 433-1180(251) 433-1181 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Apr 19, 2019 (2 updates tracked since 2019).

About Mobile Vascular Labs Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE VASCULAR LABS LLC (NPI 1124354501) is a healthcare organization registered as a specialist in Mobile, Alabama and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1124354501
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOBILE VASCULAR LABS LLC
Location Address1551 OLD SHELL RDMobile, AL 36604-1354
Mailing AddressPo Box 410207Boston, MA 02241-0207 · (610) 644-8900 · Fax (484) 924-0053
Fax(251) 433-1181
Organization SubpartNo
Authorized OfficialGregg MillerAuthorized Official · (717) 515-4048
Enumeration DateOctober 20, 2009
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
NPI 1124354501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1551 OLD SHELL RD, Mobile, AL 36604

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2152563

Mobile Vascular Labs LLC · Mobile, AL
Active · expires Aug 12, 2026
CLIA Number01D2152563
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorMichael C. Kleinmann
Laboratory Phone(251) 433-1180
Laboratory LocationMobile Vascular Labs LLC1551 Old Shell Road, Mobile, AL 36604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
1551 OLD SHELL RD
MOBILE, AL 36604
Surgery (Vascular Surgery)
1551 OLD SHELL RD
MOBILE, AL 36604
Surgery (Vascular Surgery)
1551 OLD SHELL RD
MOBILE, AL 36604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobile Vascular Labs LLC's NPI number?

The NPI number for Mobile Vascular Labs LLC is 1124354501. It was assigned to this organization in the NPPES registry on October 20, 2009.

Where is Mobile Vascular Labs LLC located?

Mobile Vascular Labs LLC is located at 1551 Old Shell Rd, Mobile, AL 36604. The listed phone number is (251) 433-1180.

What is Mobile Vascular Labs LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Mobile Vascular Labs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2152563) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mobile Vascular Labs LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 1 other insurer list Mobile Vascular Labs LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mobile Vascular Labs LLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.