NPI 1659149839
Jackson Lab Services LLC
Practice location
- Address
- 2872 N 59th St, Milwaukee, WI 53210-1504
- Phone
- (414) 939-5802
- Mailing address
- 5721 N 90th St, Milwaukee, WI 53225-2833
Authorised official
- Name
- Gemontasia Jackson
- Title
- Director
- Phone
- (414) 939-5802
Registered specialties
Point of Service
Primary
Registry record
- NPI
- 1659149839
- Entity type
- Organization
- NPI issued
- 18 Dec 2023
- Record last updated
- 18 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.