Provider Demographics
NPI:1164317053
Name:MOBIMED DX LLC
Entity type:Organization
Organization Name:MOBIMED DX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-395-6883
Mailing Address - Street 1:6392 MCLEOD DR STE 7
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4417
Mailing Address - Country:US
Mailing Address - Phone:949-338-9123
Mailing Address - Fax:866-246-3093
Practice Address - Street 1:1720 REGAL ROW STE 230
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-2219
Practice Address - Country:US
Practice Address - Phone:949-338-9123
Practice Address - Fax:866-246-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory