Ellis Jacobs in Teaneck - Laboratory Management, Diplomate
Ellis Jacobs - NPI 1720256910
Ellis Jacobs is a Laboratory Management, Diplomate in Teaneck, New Jersey. Ellis Jacobs practices all healthcare services and medical treatments related to Laboratory Management, Diplomate. The NPI Number for Ellis Jacobs is 1720256910. The last update date is 2013-07-01.
Ellis Jacobs's current location address is 540 Wyndham Rd, Teaneck, New Jersey. You can contact this provider via phone number 2018361518 and fax number 2123184699. The mailing address for Ellis Jacobs is 540 Wyndham Rd, Teaneck, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis Jacobs |
|---|---|
| Address | 540 Wyndham Rd, Teaneck, New Jersey |
| Phone Number | 2018361518 |
| Fax Number | 2123184699 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1720256910 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2013-07-01 |
Provider Mailing Address Detail
| Address | 540 Wyndham Rd |
|---|---|
| City | Teaneck |
| State | New Jersey (NJ) |
| Post Code | 76662612 |
| Phone Number | 2018361518 |
| Fax Number | 2123184699 |
Provider's Primary Taxonomy Detail
| Speciality | Laboratory Management, Diplomate |
|---|---|
| Taxonomy | 246Ql0901X |
| Licence No | JACOE1 |
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Definition: Holds advanced-level certification in the management of clinical and research laboratory operations. |
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What is the unique identification code assigned to Ellis Jacobs by the Centers for Medicare & Medicaid Services?
The Ellis Jacobs has been issued the NPI (National Provider Identifier) 1720256910. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ellis Jacobs's facilities are situated?
The facilities of Ellis Jacobs are physically located at the following address: 540 Wyndham Rd, Teaneck, NJ, 76662612.
What is Ellis Jacobs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ellis Jacobs's area of specialization is Laboratory Management, Diplomate, and the corresponding taxonomy code that categorizes this field of practice is 246Ql0901X.
On what date was the 1720256910 assigned to Ellis Jacobs?
The Ellis Jacobs was issued its 1720256910 on 2008-02-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ellis Jacobs most recently updated?
The details pertaining to the Ellis Jacobs, including its address, specialty, and other relevant information, were last refreshed on 2013-07-01.
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