Provider Demographics
NPI:1942398581
Name:J2 LABORATORIES, INC.
Entity Type:Organization
Organization Name:J2 LABORATORIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ALFRED
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-690-7385
Mailing Address - Street 1:3640 N 1ST AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1602
Mailing Address - Country:US
Mailing Address - Phone:520-690-7385
Mailing Address - Fax:520-690-7386
Practice Address - Street 1:3640 N 1ST AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1602
Practice Address - Country:US
Practice Address - Phone:520-690-7385
Practice Address - Fax:520-690-7386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory