Prominent Mobile Labs LLC
NPI 1154052900ActiveOrganization· Technician, Pathology, Phlebotomy· Memphis, TN
Technician, Pathology, Phlebotomy in Memphis, Tennessee, registered in NPPES in June 2022. The authorized official on file is Trezestyvette Brooks, Owner.
Overview
| NPI | 1154052900 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2022 |
| Last updated in NPPES | Apr 16, 2025 |
| Certified by provider | Apr 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology, Phlebotomy Primary | 246RP1900X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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