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KINGDOM MOBILE LAB SERVICES LLC
NPI 1700555018
Technician, Pathology - Phlebotomy in Douglasville, GA

Active since September 09, 2021
7674 MOUNTAIN CREEK WAY, DOUGLASVILLE, GA 30134(678) 368-2745(678) 306-5637 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingdom Mobile Lab Services Llc NPPES

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

KINGDOM MOBILE LAB SERVICES LLC (NPI 1700555018) is a healthcare organization registered as a phlebotomy in Douglasville, Georgia and active in the NPI registry since September 2021. The organization lists Keesha M Mccloud, Owner, as its authorized official.

NPPES Registry Identity

NPI1700555018
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameKINGDOM MOBILE LAB SERVICES LLC
Location Address7674 MOUNTAIN CREEK WAYDouglasville, GA 30134-3783
Mailing Address7674 Mountain Creek WayDouglasville, GA 30134-3783 · (678) 368-2745 · Fax (678) 306-5637
Phone(678) 368-2745
Fax(678) 306-5637
Organization SubpartNo
Authorized OfficialKeesha M MccloudOwner · (678) 368-2745
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1700555018 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
7674 MOUNTAIN CREEK WAY, Douglasville, GA 30134
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Other Names 1

Doing Business AsKingdom Mobile Lab Services Llc

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Kingdom Mobile Lab Services LLC's NPI number?

The NPI number for Kingdom Mobile Lab Services LLC is 1700555018. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Kingdom Mobile Lab Services LLC located?

Kingdom Mobile Lab Services LLC is located at 7674 Mountain Creek Way, Douglasville, GA 30134. The listed phone number is (678) 368-2745.

What is Kingdom Mobile Lab Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kingdom Mobile Lab Services LLC was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.