Provider Demographics
NPI:1831927060
Name:JONES, MILLINI (LABORATORY DIRECTOR)
Entity type:Individual
Prefix:
First Name:MILLINI
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LABORATORY DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 N 50TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2605
Mailing Address - Country:US
Mailing Address - Phone:402-403-9581
Mailing Address - Fax:
Practice Address - Street 1:6915 N 50TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2605
Practice Address - Country:US
Practice Address - Phone:402-999-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE77179376K00000X
247ZC0005X, 374U00000X, 372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
No376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider