Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X | |||
Point of Service |
305S00000X |
| NPI # | 1508740507 |
| LBN Legal business name | JBH PRIME LLC |
| Authorized official | JACQUELYNNE BROCKMAN - (OWNER/ DAILY OPERATIONS MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/04/2025 |
| Last updated | 08/04/2025 - About 10 months ago |
| Identifiers | n/a |
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JBH PRIME LLC
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