MEDICARE: CRYSTAL CLEAR RESULTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1023965738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRYSTAL CLEAR RESULTS LLC

Provider Business Mailing Address
First Line	:	730 COURT ST STE B
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-4814
Country	:	US
Telephone Number	:	866-476-8656
Fax Number	:	866-476-8656

Provider Business Practice Location Address
First Line	:	730 COURT ST STE B
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-4814
Country	:	US
Telephone Number	:	866-476-8656
Fax Number	:	866-476-8656

Authorized Official
Title or Position	:	OWNER
Name	:	CRYSTAL GILL
Credential	:	GILL
Telephone Number	:	910-378-6662

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

Similar Medicare Providers

1760452452 — DR. DAVID PHILIP SHAPIRO MD
Practice Location Address:

4814 APACHE AVE
JACKSONVILLE, FL
32210

Practice Phone: 904-382-1340
Practice Fax:

1407671514 — ASHLEY N NELSON RN, FNC
Practice Location Address:

3734 REEDPOND DR N
JACKSONVILLE, FL
32223-4814

Practice Phone: 904-868-9304
Practice Fax:

1144907403 — HOLISTIC HEALING COUNSELING AND WELLNESS, PLLC
Practice Location Address:

226 NEW BRIDGE ST
JACKSONVILLE, NC
28540-4737

Practice Phone: 910-333-6261
Practice Fax: 910-910-2155

1194655654 — ADRIANNA WALDROP
Practice Location Address:

806 BELL FORK RD
JACKSONVILLE, NC
28540-6312

Practice Phone: 866-727-8274
Practice Fax:

1902736465 — KACEY STICKLE
Practice Location Address:

806 BELL FORK RD
JACKSONVILLE, NC
28540-6312

Practice Phone: 866-727-8274
Practice Fax:

1861320806 — JADA ABNEY
Practice Location Address:

806 BELL FORK RD
JACKSONVILLE, NC
28540-6312

Practice Phone: 866-727-8274
Practice Fax:

Directions to “CRYSTAL CLEAR RESULTS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.