Blue Ink Medical LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Jefferson, GA
NPI 1336067719 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1336067719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BLUE INK MEDICAL LLC
- Practice address
- 44 Still Water LN
Jefferson, GA 30549-7044 - Phone
- (732) 956-1962
- NPI assigned
- Jul 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Jamila Lacosta
- Title
- Owner
- Phone
- (732) 167-8658
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
44 Still Water LN
Jefferson, GA 30549-7044
Mailing address
44 Still Water LN
Jefferson, GA 30549-7044
Phone (732) 167-8658
Other providers in Jefferson, GA
- Angie D Beason
- Lynne Beelman
- Susan Marie Bell
- Luis Eduardo Berbessi
- Kimesh Bhana
- Tammy Bogan
- Laura Bray
- Khanh Van Brown
- Ralyn Daniels Bullock
- Sharla Burrell-Stroud
All providers in Jefferson, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.