JERALD JOHNSON
NPI 1669856225
Technician, Pathology - Medical Laboratory in Fargo, ND
- Individual
- Male
- Technician, Pathology
- Medical Laboratory
About JERALD JOHNSON
This page provides the complete NPI Profile along with additional information for Jerald Johnson, a provider established in Fargo, North Dakota with a medical specialization in Technician, Pathology, focusing in medical laboratory . The healthcare provider is registered in the NPI registry with number 1669856225 assigned on July 2015. The practitioner's primary taxonomy code is 246RM2200X with license number 04200308 (MN). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1669856225 Verify this NPI
- Provider Name
- JERALD JOHNSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1618 E GATEWAY CIR S APT 301 FARGO, ND 58103
- Location Phone
- (612) 384-0964
- Mailing Address
- 1618 E GATEWAY CIR S APT 301 FARGO, ND 58103
- Mailing Phone
- (612) 384-0964
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2015
- Last Update Date
- 07-14-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician, Pathology Medical Laboratory
- Taxonomy Code
- 246RM2200X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 04200308
- License State
- MN
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669856225, enumerated as an "individual" on July 14, 2015.
The provider is located at 1618 E GATEWAY CIR S APT 301 FARGO, ND 58103 and the phone number is (612) 384-0964.
Technician, Pathology with taxonomy code 246RM2200X and a focus in Medical Laboratory.
