FULLSCOPE MOBILE DIAGNOSTICS
NPI 1225908643
Specialist/Technologist, Pathology in Odenville, AL

Active since November 10, 2025CLIA 01D2334449 · Waiver
330 LEVINE RD, ODENVILLE, AL 35120(205) 722-3648 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Nov 14, 2025 (2 updates tracked since 2025).

About Fullscope Mobile Diagnostics NPPES

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

FULLSCOPE MOBILE DIAGNOSTICS (NPI 1225908643) is a healthcare organization registered as a specialist/technologist, pathology in Odenville, Alabama and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Ebony S Gonzales, Owner, as its authorized official.

NPPES Registry Identity

NPI1225908643
Entity TypeOrganization
Primary Taxonomy246Q00000X
Legal Business NameFULLSCOPE MOBILE DIAGNOSTICS
Location Address330 LEVINE RDOdenville, AL 35120-3607
Mailing Address330 Levine RdOdenville, AL 35120-3607
Organization SubpartNo
Authorized OfficialEbony S GonzalesOwner · (205) 722-3648
Enumeration DateNovember 10, 2025
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1225908643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, PathologyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Q00000X
Definition
(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.
330 LEVINE RD, Odenville, AL 35120

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 01D2334449

Fullscope Mobile Diagnostics LLC · Odenville, AL
Active · expires Nov 19, 2027
CLIA Number01D2334449
Laboratory TypeMobile Laboratory
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorEbony S. Gonzales
Laboratory Phone(205) 813-7339
Laboratory LocationFullscope Mobile Diagnostics LLC330 Levine Rd, Odenville, AL 35120
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.

Technician, Pathology (Phlebotomy)
330 LEVINE RD
ODENVILLE, AL 35120

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 Fullscope Mobile Diagnostics's NPI number?

The NPI number for Fullscope Mobile Diagnostics is 1225908643. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Fullscope Mobile Diagnostics located?

Fullscope Mobile Diagnostics is located at 330 Levine Rd, Odenville, AL 35120. The listed phone number is (205) 722-3648.

What is Fullscope Mobile Diagnostics's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology with taxonomy code 246Q00000X.

Does Fullscope Mobile Diagnostics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2334449) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fullscope Mobile Diagnostics was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.