OrganizationActive
Elite Lab Services LLC
NPI 1649120015 · Clinical Medical Laboratory · Dothan, AL
Provider details
- NPI number
- 1649120015
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Asela Moya, Managing Member(256) 592-6628
Specialties & taxonomies
Laboratories
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
212 W Troy St Ste B
Dothan, AL 36303-4455
Phone: (256) 592-6628
Street-level locationGet directions
Mailing address
212 W Troy St Ste B
Dothan, AL 36303-4455
Registry dates
- Enumerated
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.