BLUDBORN LABS LLC – NPI #1942995618
Technician, Pathology

BLUDBORN LABS LLC is a pathology technician located in JESUP, GA. NPPES has assigned the NPI number 1942995618 to BLUDBORN LABS LLC on April 10, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246RM2200X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Medical Laboratory

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUDBORN LABS LLC below.

NPI Profile for
BLUDBORN LABS LLC

NPI Number
1942995618
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUDBORN LABS LLC
Primary location
258 W WALNUT ST
JESUP, GA 31545-1331
Phone: (912) 202-6179 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANGELA DARDEN-RIVERS
CEO
Phone: (912) 202-6179
Updated
Certification Date
Apr 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RM2200X
- Technician, Pathology / Medical Laboratory (Primary)
246RP1900X
- Technician, Pathology / Phlebotomy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.