Organization Active NPI

Matrix Labs

  • Clinical Medical Laboratory
  • Anniston, AL
National Provider Identifier
1952908626
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MATRIX LABS
Practice address
4100 McClellan Blvd Ste 102
Anniston, AL 36201-2132
Phone
(256) 645-4080
Fax
(256) 645-4081
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Jason Junkins, MDNPI 1114928512
Title
Ceo
Phone
(256) 645-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4100 McClellan Blvd Ste 102
Anniston, AL 36201-2132

Mailing address

4100 McClellan Blvd Ste 102
Anniston, AL 36201-2132
Phone (256) 645-4080

National Provider Directory

National Provider Directory

Locations

4100 McClellan Blvd
Ste 102
Anniston, AL 36201
Phone (256) 645-4080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1952908626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MCCLELLAN BLVD STE 102",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362012132",
            "telephone_number": "256-645-4080",
            "fax_number": "256-645-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MCCLELLAN BLVD STE 102",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362012132",
            "telephone_number": "256-645-4080",
            "fax_number": "256-645-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "JUNKINS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-645-4080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.