Organization
JLA3 SERVICES LLC
Active
Other names
JLA3 Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMERICA JACKSON-CLARK (OWNER)
(404) 441-3627
Entity
Organization
Contact information
Practice address
6077 N HENRY BLVD, STOCKBRIDGE, GA 30281-3041
(404) 441-3627
Mailing address
6077 N HENRY BLVD, STOCKBRIDGE, GA 30281-3041
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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