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NPI Code Detail

MEDICARE: JAX LABORATORIES, LLC

MEDICARE: JAX LABORATORIES, 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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1912716184
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAX LABORATORIES, LLC
Provider Business Mailing Address
First Line : 6316 SAN JUAN AVE STE 44B
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-2831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6316 SAN JUAN AVE STE 44B
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-2831
Country : US
Telephone Number : 281-822-1125
Fax Number :
Authorized Official
Title or Position : OWNER
Name : YAHIYA HUSSAIN JUNAIDY
Credential :
Telephone Number : 281-822-1125
Provider Enumeration Date : 01/02/2025
Last Update Date : 02/13/2026

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Directions to “JAX LABORATORIES, LLC ” Practice Location

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