Organization
JBH PRIME LLC
Active
Other names
Ready Set Stick
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNNE BROCKMAN CPT (OWNER/ DAILY OPERATIONS MANAGER)
(314) 397-9004
Entity
Organization
Contact information
Practice address
3713 CITATION DR, COLUMBIA, MO 65202-4832
(573) 217-4908
(855) 857-8425
Mailing address
3713 CITATION DR, COLUMBIA, MO 65202-4832
(573) 217-4908
(855) 857-8425
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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