Jackson Lab Services LLC
NPI 1659149839 · Point of Service · Milwaukee, WI
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Lab Services LLC is a Point of Service organization in Milwaukee, WI (NPI 1659149839).
Provider details
- NPI number
- 1659149839
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gemontasia Jackson, Director(414) 939-5802
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Lab Services LLC
- Doing business as
- Jackson Lab Services LLC
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is Jackson Lab Services LLC's NPI number?
- Jackson Lab Services LLC's National Provider Identifier (NPI) is 1659149839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Lab Services LLC?
- Jackson Lab Services LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Jackson Lab Services LLC located?
- Jackson Lab Services LLC's practice location on file with NPPES is 2872 N 59th St, Milwaukee, WI 53210-1504.
- What is Jackson Lab Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Lab Services LLC is (414) 939-5802.
- Does Jackson Lab Services LLC accept Medicare?
- Jackson Lab Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Lab Services LLC?
- The authorized official listed on Jackson Lab Services LLC's NPPES record is Gemontasia Jackson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Lab Services LLC's NPI active?
- Yes — Jackson Lab Services LLC's NPI (1659149839) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.