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MOBILE MINI CLINIC
NPI 1194362699
Clinic/Center in Lawrenceville, GA

Active since December 03, 2019
2225 PRICKLY PEAR WALK, LAWRENCEVILLE, GA 30043(470) 207-1866 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2020, Dec 3, 2019 (2 updates tracked since 2019).

About Mobile Mini Clinic NPPES

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

MOBILE MINI CLINIC (NPI 1194362699) is a healthcare organization registered as a clinic/center in Lawrenceville, Georgia and active in the NPI registry since December 2019. The organization lists Taheerah Demby, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194362699
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMOBILE MINI CLINIC
Location Address2225 PRICKLY PEAR WALKLawrenceville, GA 30043-6344
Mailing Address2225 Prickly Pear WalkLawrenceville, GA 30043-6344 · (219) 201-3215
Phone(470) 207-1866
Organization SubpartNo
Authorized OfficialTaheerah DembyCeo · (470) 207-1866
Enumeration DateDecember 3, 2019
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1194362699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
2225 PRICKLY PEAR WALK, Lawrenceville, GA 30043
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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 Mini Clinic's NPI number?

The NPI number for Mobile Mini Clinic is 1194362699. It was assigned to this organization in the NPPES registry on December 3, 2019.

Where is Mobile Mini Clinic located?

Mobile Mini Clinic is located at 2225 Prickly Pear Walk, Lawrenceville, GA 30043. The listed phone number is (470) 207-1866.

What is Mobile Mini Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mobile Mini Clinic was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.