JACKSON LAB SERVICES LLC is a point of service in Milwaukee, WI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. JACKSON LAB SERVICES LLC NPI is 1659149839. The provider is registered as an organization entity type.
The provider's business location address is:
2872 N 59TH ST
MILWAUKEE, WI
ZIP 53210-504
Phone: (414) 939-5802
The provider's authorized official is Gemontasia Jackson .
The authorized official title is Director and has the following contact phone number (414) 939-5802.
The CLIA number assigned to this NPI record is 52D2299818 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.