Jackson Lab Services Llc

LBN: Jackson Lab Services Llc
Jackson Lab Services Llc is an health care organization with primary practice located at 2872 N 59Th St , Milwaukee WI 53210-1504. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Jackson Lab Services Llc can be contacted via phone (414) 939-5802, or through Jackson, Gemontasia via phone (414) 939-5802.

Contact Information

Primary practice address
2872 N 59Th St Milwaukee WI 53210-1504
Phone: (414) 939-5802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Gemontasia
Phone: (414) 939-5802

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1659149839
LBN Legal business name Jackson Lab Services Llc
DBA Doing business as
Authorized official Jackson, Gemontasia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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