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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LOVE LEGACY MOBILE LAB SERVICES LLC
NPI 1215844360
Technician, Pathology - Phlebotomy in Indianapolis, IN

Active since August 25, 2026CLIA 15D2347009 · Waiver
1653 PARK RIDGE WAY, INDIANAPOLIS, IN 46229(317) 525-9765(517) 317-6531 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Love Legacy Mobile Lab Services Llc NPPES

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

LOVE LEGACY MOBILE LAB SERVICES LLC (NPI 1215844360) is a healthcare organization registered as a phlebotomy in Indianapolis, Indiana and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists David Mosley, Owner, as its authorized official.

NPPES Registry Identity

NPI1215844360
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameLOVE LEGACY MOBILE LAB SERVICES LLC
Location Address1653 PARK RIDGE WAYIndianapolis, IN 46229-4122
Mailing Address1653 Park Ridge WayIndianapolis, IN 46229-4122 · (317) 525-9765 · Fax (517) 317-6531
Phone(317) 525-9765
Fax(517) 317-6531
Organization SubpartNo
Authorized OfficialDavid MosleyOwner · (317) 552-8829
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ NPI 1215844360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
1653 PARK RIDGE WAY, Indianapolis, IN 46229
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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

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 15D2347009

Love Legacy Mobile Lab Services, LLC · Indianapolis, IN
Active · expires Jul 9, 2028
CLIA Number15D2347009
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorCeleste Wilson
Laboratory Phone(463) 315-4948
Laboratory LocationLove Legacy Mobile Lab Services, LLC1653 Park Ridge Way, Indianapolis, IN 46229
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LOVE LEGACY HOME CARE LLC
In Home Supportive Care
1653 PARK RIDGE WAY
INDIANAPOLIS, IN 46229
Marion County (317) 525-9765

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 Love Legacy Mobile Lab Services LLC's NPI number?

The NPI number for Love Legacy Mobile Lab Services LLC is 1215844360. It was assigned to this organization in the NPPES registry on August 25, 2026.

Where is Love Legacy Mobile Lab Services LLC located?

Love Legacy Mobile Lab Services LLC is located at 1653 Park Ridge Way, Indianapolis, IN 46229. The listed phone number is (317) 525-9765.

What is Love Legacy Mobile Lab Services LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does Love Legacy Mobile Lab Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2347009) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Love Legacy Mobile Lab Services LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.