JBH PRIME LLC – NPI #1508740507
Technician, Pathology

JBH PRIME LLC is a pathology technician located in COLUMBIA, MO. NPPES has assigned the NPI number 1508740507 to JBH PRIME LLC on August 04, 2025. 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 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

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 JBH PRIME LLC below.

NPI Profile for
JBH PRIME LLC

NPI Number
1508740507
Enumeration Date

(about 10 months 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
JBH PRIME LLC
Primary location
3713 CITATION DR
COLUMBIA, MO 65202-4832
Phone: (573) 217-4908 Fax: (855) 857-8425
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACQUELYNNE BROCKMAN
OWNER/ DAILY OPERATIONS MANAGER
Phone: (314) 397-9004
Updated
Certification Date
Aug 03, 2025

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
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
305S00000X
- Point of Service

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.