Jackson Clinic Pa in Jackson - Clinical Medical Laboratory
Jackson Clinic Pa - NPI 1376647545
Jackson Clinic Pa is a Clinical Medical Laboratory in Jackson, Tennessee. Jackson Clinic Pa practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Jackson Clinic Pa is 1376647545. The last update date is 2020-08-22.
Jackson Clinic Pa's current location address is Po Box 400, Jackson, Tennessee. You can contact this provider via phone number 7314238697 and fax number 7314225743. The mailing address for Jackson Clinic Pa is Po Box 400, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jackson Clinic Pa |
---|---|
Address | Po Box 400, Jackson, Tennessee |
Phone Number | 7314238697 |
Fax Number | 7314225743 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
---|---|
Authorized Official Name | Rudd E Carl |
Telephone Number | 7314220330 |
NPI Number Detail
NPI Number | 1376647545 |
---|---|
Provider Enumeration Date | 2006-09-11 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 400 |
---|---|
City | Jackson |
State | Tennessee (TN) |
Post Code | 383020400 |
Phone Number | 7314238697 |
Fax Number | 7314225743 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
---|---|
Taxonomy | 291U00000X |
Licence No | 3266 |
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
44D0315448 | TN | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jackson Clinic Pa by the Centers for Medicare & Medicaid Services?
The Jackson Clinic Pa has been issued the NPI (National Provider Identifier) 1376647545 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jackson Clinic Pa located?
The Jackson Clinic Pa is located at Po Box 400, Jackson, TN 383020400.
What is the Jackson Clinic Pa's area of specialization and corresponding taxonomy classification?
The Jackson Clinic Pa's specialty field is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jackson Clinic Pa receive the assignment of its 1376647545 from the Centers for Medicare & Medicaid Services?
The Jackson Clinic Pa was issued its 1376647545 by the Centers for Medicare & Medicaid Services on 2006-09-11.
As of what date were the details related to Jackson Clinic Pa most recently updated or revised?
The information pertaining to Jackson Clinic Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1639172463
Address: 25000 Country Club Blvd, North Olmsted, OH
NPI Number: 1265434468
Address: 25000 Country Club Blvd, North Olmsted, OH
NPI Number: 1053313254
Address: 25000 Country Club Blvd, North Olmsted, OH
NPI Number: 1649274606
Address: 2600 Miller St, Bethany, MO
NPI Number: 1700880770
Address: 25000 Country Club Blvd, North Olmsted, OH
NPI Number: 1063416030
Address: 25000 Country Club Blvd, North Olmsted, OH
NPI Number: 1124025705
Address: 452 Delaware Ave, Buffalo, NY
NPI Number: 1275531295
Address: 2703 Hall St, Hays, KS
NPI Number: 1528069309
Address: 220 W Germantown Pike Ste 250, Plymouth Meeting, PA