JBH Prime LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

JBH PRIME LLC

Practice address

3713 Citation Dr
Columbia, MO 65202-4832

Phone

(573) 217-4908

Fax

(855) 857-8425

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

Jacquelynne Brockman, CPT

Title

Owner/ Daily Operations Manager

Phone

(314) 397-9004

Specialties & licenses 2

Addresses

Other names 1

• Ready Set Stick Doing business as

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1508740507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 CITATION DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024832",
            "telephone_number": "573-217-4908",
            "fax_number": "855-857-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 CITATION DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024832",
            "telephone_number": "573-217-4908",
            "fax_number": "855-857-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBH PRIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "JACQUELYNNE",
        "authorized_official_title_or_position": "OWNER/ DAILY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "314-397-9004",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ready Set Stick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Jaworski
• Gary Wayne Jay, MD
• Elisha Marie Jayarao, PA-C
• Philip Conrad Jaynes, DDS,MS
• JB Medical, PC
• Olivia Jeckel
• Varun Embar Jeevan, MD
• Joel T Jeffries, MD
• Ashley Miles Jenkins, M.D.
• Cherry Ann Jenkins

• Phlebotomy Technician in Columbia, MO
• Providers in Columbia, MO by specialty
• Phlebotomy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.