Jackson-Zuckerman Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

JACKSON-ZUCKERMAN INC

Doing business as

Mendocino Laboratory Associates

Practice address

415 Hospital Dr
Ukiah, CA 95482-4545

Phone

(707) 462-3111

NPI assigned

Jun 30, 2022

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Harding-Jackson, MDNPI 1396011755

Title

President

Phone

(414) 793-7114

Specialties & licenses 1

Addresses

Other names 1

• Mendocino Laboratory Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Max Harding-Jackson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1396011755
  Medicare reassignment Care Compare group NPD Authorized official
• Mark Zuckerman, M.D.

  • Cytopathology Physician
  • Winchester, MA
  • NPI 1376532754

  Anatomic Pathology & Clinical Pathology, CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1902538580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824545",
            "telephone_number": "707-462-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824531",
            "country_code": "US",
            "telephone_number": "707-467-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON-ZUCKERMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HARDING-JACKSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-793-7114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendocino Laboratory Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Ingels
• Integrated Care Management Solutions
• Bryce Anthony Irwin, PA
• Christine Ives, M.D.
• Jack F Mason MD Professional Corp
• Jennifer Jackson
• Capri Jacobs
• Patricia Cathleen Jacques, IMF
• Yesica Jaimes Mendoza, CPHW
• James a. Diaz

• Anatomic Pathology & Clinical Pathology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.