Jackson Laboratories INC
Clinical Medical Laboratory in Low Moor, VA. Organization (NPI-2).
NPI number1528070554
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528070554
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson Laboratories INC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1 Arh LaneLow Moor, VA 24457
Phone 540-862-6670 · Fax 540-862-6539
Mailing address
Po Box 234Low Moor, VA 24457-0234
Phone 540-862-6670 · Fax 540-862-6539
Authorized official
William H Lanehart
President
5408626670
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