| Organization Name: | GO LAB MOBILE, LLC |
| NPI Number: | 1851723563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILYNNDA G. ISLA (OWNER) |
| Mailing Address: | 105 North Avalon Drive Wintersville |
| State: | OH US |
| Postal Code: | 43953 |
| Phone Number: | 7406327827 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2013 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |