Organization Active NPI

Mercury Medical Services, LLC

  • Phlebotomy Technician
  • Jacksonville, FL
National Provider Identifier
1649029588
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
MERCURY MEDICAL SERVICES, LLC
Practice address
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone
(904) 982-2167
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Jazmin Rucker, RN
Title
Ceo
Phone
(904) 982-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Mailing address

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1649029588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 GRAN BAY PKWY W STE 410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12724 GRAN BAY PKWY W STE 410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589486",
            "telephone_number": "904-982-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-982-2167",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.