Organization
IDTS-MOBILE SPECIMEN COLLECTION LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS SMITH NA (OWNER/DOT COLLECTOR)
(240) 350-2943
Entity
Organization
Contact information
Practice address
3849 SAINT BARNABAS RD APT T2, SUITLAND, MD 20746-3238
(240) 350-2943
(866) 528-1035
Mailing address
3849 SAINT BARNABAS RD APT T2, SUITLAND, MD 20746-3238
(240) 350-2943
(866) 528-1035
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
207ZC0006X
Clinical Pathology Physician
—
—
Other
Enumeration date
07/03/2025
Last updated
01/09/2026
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