Organization
MOBILE LAB SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE SHARICE CLARK CPT (PHLEBOTOMY TECHNICIAN)
(631) 276-8176
Entity
Organization
Contact information
Practice address
656 SAG HARBOR TURNPIKE, BRIDGEHAMPTON, NY 11932
(631) 276-8176
Mailing address
P.O. BOX 1534, BRIDGEHAMPTON, NY 11932-1534
(631) 276-8176
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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