JPS International Support Services LLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

JPS INTERNATIONAL SUPPORT SERVICES LLC

Practice address

2916 Magnolia Blossom Cir
Clermont, FL 34711-7522

Phone

(352) 678-9472

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Michael Jay Peters, PHLEBOTOMIST

Title

MBR

Phone

(352) 678-9472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1588396105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 MAGNOLIA BLOSSOM CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117522",
            "telephone_number": "352-678-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 MAGNOLIA BLOSSOM CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117522",
            "telephone_number": "352-678-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPS INTERNATIONAL SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "352-678-9472",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Laboratory Technician in Clermont, FL
• Providers in Clermont, FL by specialty
• Medical Laboratory Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.