Prolab Solutions LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

PROLAB SOLUTIONS LLC

Practice address

5991 Chester Ave Ste 210
Jacksonville, FL 32217-2245

Phone

(888) 466-4622

Fax

(888) 466-4622

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Jaime Johnson

Title

Owner

Phone

(904) 707-3938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1548010259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 CHESTER AVE STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172245",
            "telephone_number": "888-466-4622",
            "fax_number": "888-466-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 CHESTER AVE STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172245",
            "telephone_number": "888-466-4622",
            "fax_number": "888-466-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLAB SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-707-3938",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.