Jack A Ross in Rockledge - Clinical Medical Laboratory
Jack A Ross - NPI 1760669279
Jack A Ross is a Clinical Medical Laboratory in Rockledge, Florida. Jack A Ross practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Jack A Ross is 1760669279. The last update date is 2008-05-05.
Jack A Ross's current location address is Po Box 560977, Rockledge, Florida. You can contact this provider via phone number 3216392404 and fax number 3216357979. The mailing address for Jack A Ross is Po Box 560977, Rockledge, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack A Ross |
|---|---|
| Address | Po Box 560977, Rockledge, Florida |
| Phone Number | 3216392404 |
| Fax Number | 3216357979 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Hileman M Tina |
| Telephone Number | 3215052069 |
NPI Number Detail
| NPI Number | 1760669279 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | Po Box 560977 |
|---|---|
| City | Rockledge |
| State | Florida (FL) |
| Post Code | 329560977 |
| Phone Number | 3216392404 |
| Fax Number | 3216357979 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 800022292 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack A Ross by the Centers for Medicare & Medicaid Services?
The Jack A Ross has been issued the NPI (National Provider Identifier) 1760669279 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jack A Ross is physically located?
The Jack A Ross is physically situated at the following address: Po Box 560977, Rockledge, FL, 329560977.
What is Jack A Ross's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack A Ross is Clinical Medical Laboratory, and the taxonomy code that classifies this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760669279 to Jack A Ross?
The Centers for Medicare & Medicaid Services originally issued the 1760669279 to Jack A Ross on 2008-01-28.
As of what date were the Jack A Ross's details last updated?
The information pertaining to the Jack A Ross, including its address, specialty, and other details, was most recently updated on 2008-05-05.
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