Organization
JAYSON MOBILE CARE PHLEBOTOMIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKTI D MANBODE CEO (OWNER)
(973) 820-7681
Entity
Organization
Contact information
Practice address
80 CORBIN AVE, JERSEY CITY, NJ 07306-6914
(973) 866-7453
(973) 528-2558
Mailing address
182 LITTLE ST, BELLEVILLE, NJ 07109-2629
(973) 820-7681
(973) 528-2558
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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