Provider Demographics
NPI:1073099602
Name:JPROLABS2GO,LLC
Entity type:Organization
Organization Name:JPROLABS2GO,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOMOTIST
Authorized Official - Phone:832-965-6286
Mailing Address - Street 1:5502 CANYON BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2090
Mailing Address - Country:US
Mailing Address - Phone:832-965-6286
Mailing Address - Fax:281-595-7621
Practice Address - Street 1:5502 CANYON BLUFF CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2090
Practice Address - Country:US
Practice Address - Phone:832-965-6286
Practice Address - Fax:281-595-7621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health