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

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FAQs about Jackson Clinic Pa

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.

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