Provider Demographics
NPI:1033718333
Name:JMJ LABS LLC DBA ARCPOINT LABS OF SAINT PETERSBURG
Entity Type:Organization
Organization Name:JMJ LABS LLC DBA ARCPOINT LABS OF SAINT PETERSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-209-7090
Mailing Address - Street 1:4713 66TH ST N
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-3113
Mailing Address - Country:US
Mailing Address - Phone:727-209-7090
Mailing Address - Fax:727-220-0326
Practice Address - Street 1:4713 66TH ST N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-3113
Practice Address - Country:US
Practice Address - Phone:727-209-7090
Practice Address - Fax:727-220-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory