MOBILE DIAGNOSTIC LABORATORY, INC.
NPI 1992643597
Clinical Medical Laboratory in Pine Bluff, AR

Active since March 24, 2026CLIA 04D2254057 · Waiver
703 WEST PULLEN AVENUE, PINE BLUFF, AR 71601(870) 433-0096(870) 433-0686 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mobile Diagnostic Laboratory, Inc. NPPES

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

MOBILE DIAGNOSTIC LABORATORY, INC. (NPI 1992643597) is a healthcare organization registered as a clinical medical laboratory in Pine Bluff, Arkansas and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Joseph Howard Trotter, Director, as its authorized official.

NPPES Registry Identity

NPI1992643597
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMOBILE DIAGNOSTIC LABORATORY, INC.
Location Address703 WEST PULLEN AVENUEPine Bluff, AR 71601-3441
Mailing Address703 West Pullen AvenuePine Bluff, AR 71601-3441 · (870) 433-0096 · Fax (870) 433-0686
Fax(870) 433-0686
Organization SubpartYes
Authorized OfficialJoseph Howard TrotterDirector · (870) 433-0096
Enumeration DateMarch 24, 2026
NPI 1992643597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
703 WEST PULLEN AVENUE, Pine Bluff, AR 71601

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 04D2254057

Mobile Diagnostic Laboratory Inc · Pine Bluff, AR
Active · expires Feb 28, 2028
CLIA Number04D2254057
Laboratory TypePoct
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorDr. Joseph H. Trotter
Laboratory Phone(870) 433-0096
Laboratory LocationMobile Diagnostic Laboratory Inc703 West Pullen Street, Pine Bluff, AR 71601
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 Mobile Diagnostic Laboratory, Inc.'s NPI number?

The NPI number for Mobile Diagnostic Laboratory, Inc. is 1992643597. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Mobile Diagnostic Laboratory, Inc. located?

Mobile Diagnostic Laboratory, Inc. is located at 703 West Pullen Avenue, Pine Bluff, AR 71601. The listed phone number is (870) 433-0096.

What is Mobile Diagnostic Laboratory, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Mobile Diagnostic Laboratory, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2254057) is associated with this NPI, valid through February 28, 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 Mobile Diagnostic Laboratory, Inc. was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.