# MOBILAB EXPRESS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679054019
- **Authorized official:** MISS CAPRIA D GRIMES (OWNER/CERTIFIED PHLEBOTOMIST)
- **Authorized official phone:** (615) 852-9085

## Contact information

- **Practice address:** 908 WILLIAM EDMONDSON ST, NASHVILLE, TN 37203-2877
- **Practice address phone:** (615) 389-0765
- **Mailing address:** 908 WILLIAM EDMONDSON ST, NASHVILLE, TN 37203-2877
- **Mailing address phone:** (615) 852-9085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 302R00000X | Health Maintenance Organization | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2018
- **Last updated:** 01/26/2021