NPIMap

Organization Active NPI

F. Daniel Jackson, MD, PA D/B/a Labwork LLC

  • Clinical Medical Laboratory
  • Cumberland, MD
National Provider Identifier
1639187289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
939 Issued in MD
Legal business name
F. DANIEL JACKSON, MD, PA D/B/A LABWORK LLC
Practice address
130 Pennsylvania Ave
Cumberland, MD 21502-4236
Phone
(301) 722-7270
Fax
(301) 722-7274
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. F Daniel Jackson, M.D.
Title
President
Phone
(301) 759-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 939 MD Primary

Addresses

Primary practice location

130 Pennsylvania Ave
Cumberland, MD 21502-4236

Mailing address

PO Box 1701
Cumberland, MD 21501-1701
Phone (301) 759-3817

National Provider Directory

National Provider Directory
Tax ID family
F Daniel Jackson MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 Pennsylvania Ave
Cumberland, MD 21502
Phone (301) 722-7270

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639187289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1701",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011701",
            "telephone_number": "301-759-3817",
            "fax_number": "301-759-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PENNSYLVANIA AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024236",
            "telephone_number": "301-722-7270",
            "fax_number": "301-722-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. DANIEL JACKSON, MD, PA D/B/A LABWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-759-3817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.