Healthcare Provider Details

I. General information

NPI: 1033718333
Provider Name (Legal Business Name): JMJ LABS LLC DBA ARCPOINT LABS OF SAINT PETERSBURG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4713 66TH ST N
KENNETH CITY FL
33709-3113
US

IV. Provider business mailing address

4713 66TH ST N
KENNETH CITY FL
33709-3113
US

V. Phone/Fax

Practice location:
  • Phone: 727-209-7090
  • Fax: 727-220-0326
Mailing address:
  • Phone: 727-209-7090
  • Fax: 727-220-0326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JULIO CESAR RODRIGUEZ
Title or Position: LAB MANAGER
Credential:
Phone: 727-209-7090