Provider Demographics
NPI:1255682274
Name:MEDICAL MOBILE SERVICES LLC
Entity type:Organization
Organization Name:MEDICAL MOBILE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNTTUNETTE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-343-6014
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3137
Mailing Address - Country:US
Mailing Address - Phone:346-205-1834
Mailing Address - Fax:832-391-6997
Practice Address - Street 1:7211 REGENCY SQUARE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3137
Practice Address - Country:US
Practice Address - Phone:832-343-6014
Practice Address - Fax:832-391-6997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-01
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No305S00000XManaged Care OrganizationsPoint of Service