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PRESTIGE MOBILE PHLEBOTOMY SERVICES LLC
NPI 1376401745
Technician, Pathology - Phlebotomy in Dry Branch, GA

Active since January 13, 2026CLIA 11D2313446 · Waiver
174 STEPHENS DR, DRY BRANCH, GA 31020(478) 245-0628(478) 245-0628 Get Directions Write a Review

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

About Prestige Mobile Phlebotomy Services Llc NPPES

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

PRESTIGE MOBILE PHLEBOTOMY SERVICES LLC (NPI 1376401745) is a healthcare organization registered as a phlebotomy in Dry Branch, Georgia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Crystal Lowanda Thomas, Medical Assistant, as its authorized official.

NPPES Registry Identity

NPI1376401745
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NamePRESTIGE MOBILE PHLEBOTOMY SERVICES LLC
Location Address174 STEPHENS DRDry Branch, GA 31020-3622
Mailing Address174 Stephens DrDry Branch, GA 31020-3622 · (478) 245-0628 · Fax (478) 245-0628
Phone(478) 245-0628
Fax(478) 245-0628
Organization SubpartNo
Authorized OfficialCrystal Lowanda ThomasMedical Assistant · (478) 245-0628
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
✔ NPI 1376401745 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
174 STEPHENS DR, Dry Branch, GA 31020
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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 11D2313446

Prestige Mobile Phlebotomy Services LLC · Macon, GA
Active · expires Oct 30, 2026
CLIA Number11D2313446
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorCrystal L. Thomas
Laboratory Phone(478) 245-0628
Laboratory LocationPrestige Mobile Phlebotomy Services LLC111 Lower Elm Street, Unit 2070, Macon, GA 31206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prestige Mobile Phlebotomy Services LLC's NPI number?

The NPI number for Prestige Mobile Phlebotomy Services LLC is 1376401745. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Prestige Mobile Phlebotomy Services LLC located?

Prestige Mobile Phlebotomy Services LLC is located at 174 Stephens Dr, Dry Branch, GA 31020. The listed phone number is (478) 245-0628.

What is Prestige Mobile Phlebotomy Services LLC's specialty?

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

Does Prestige Mobile Phlebotomy Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2313446) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prestige Mobile Phlebotomy Services LLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.