Jla3 Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JLA3 SERVICES LLC

Doing business as

JLA3 Services LLC

Practice address

6077 N Henry Blvd
Stockbridge, GA 30281-3041

Phone

(404) 441-3627

NPI assigned

Jul 18, 2025

Last updated

Jul 18, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samerica Jackson-ClarkNPI 1639066319

Title

Owner

Phone

(404) 441-3627

Specialties & licenses 3

Addresses

Other names 1

• JLA3 Services LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samerica Jackson-Clark

  • Public Health or Welfare Agency
  • Stockbridge, GA
  • NPI 1639066319
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1235021767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 N HENRY BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6077 N HENRY BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813041",
            "telephone_number": "404-441-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLA3 SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON-CLARK",
        "authorized_official_first_name": "SAMERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-441-3627"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JLA3 Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Jefferson, LCSW
• Chrishanda Jenise Jenkins, FNP-C
• Loni Elise Jenkins, MD
• Ronald Christopher Jett II
• Jewel ABA Therapy
• JLM Dentistry of Stockbridge
• Lee C Joassin
• John C.Vencill O.D., P.C.
• Tamika Johnnicans, NURSE PRACTITIONER
• C J Johnson, PSYD

• Clinical Medical Laboratory in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.