JERALD JOHNSON
NPI 1669856225
Technician, Pathology - Medical Laboratory in Fargo, ND

Q: What is Jerald Johnson's NPI number?

The NPI number for Jerald Johnson is 1669856225. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Q: What is Jerald Johnson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

Q: When was this NPI record last updated?

The NPPES record for Jerald Johnson was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2015

1618 E GATEWAY CIR S, APT 301, FARGO, ND 58103(612) 384-0964 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jerald Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERALD JOHNSON (NPI 1669856225) is an individual medical laboratory provider in Fargo, North Dakota, licensed in Minnesota (04200308) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1669856225

Entity TypeIndividualMale

Primary Taxonomy246RM2200X

Provider Legal NameJERALD JOHNSON

Location Address1618 E GATEWAY CIR S, APT 301Fargo, ND 58103-3657

Mailing Address1618 E Gateway Cir S, Apt 301Fargo, ND 58103-3657 · (612) 384-0964

Phone(612) 384-0964

Sole ProprietorNo

Enumeration DateJuly 14, 2015

✔ NPI 1669856225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246RM2200X

License✔ Licensed in MN · 04200308

1618 E GATEWAY CIR S, Fargo, ND 58103

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerald Johnson's NPI number?

The NPI number for Jerald Johnson is 1669856225. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Jerald Johnson located?

Jerald Johnson practices at 1618 E Gateway Cir S Apt 301, Fargo, ND 58103. The listed phone number is (612) 384-0964.

What is Jerald Johnson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

When was this NPI record last updated?

The NPPES record for Jerald Johnson was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.