Provider Demographics
NPI:1225798267
Name:MISSIONARIES OF JESUS THE SAVIOR (MJS)
Entity Type:Organization
Organization Name:MISSIONARIES OF JESUS THE SAVIOR (MJS)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWUJIOKE-MBIHA
Authorized Official - Suffix:
Authorized Official - Credentials:CCMA
Authorized Official - Phone:703-814-6748
Mailing Address - Street 1:316 WARREN AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-4480
Mailing Address - Country:US
Mailing Address - Phone:703-814-6748
Mailing Address - Fax:571-441-0861
Practice Address - Street 1:316 WARREN AVE STE 2
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-4480
Practice Address - Country:US
Practice Address - Phone:703-814-6748
Practice Address - Fax:571-441-0861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE ANGELS DIAGNOSTICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251K00000XAgenciesPublic Health or Welfare