On the Road Labs, LLC
NPI 1154035491ActiveOrganization· Technician, Pathology, Phlebotomy· Gulfport, MS
Technician, Pathology, Phlebotomy in Gulfport, Mississippi, registered in NPPES in January 2023. The authorized official on file is Crystal Thompson, Medical Laboratory Technician. Enrolled in Medicare as part b supplier - independent clinical laboratory.
Overview
| NPI | 1154035491 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2023 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology, Phlebotomy Primary | 246RP1900X | — | — |
| Clinical Medical Laboratory | 291U00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (MS) |
|---|
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