Jbh Prime LLC · Phlebotomy Technician

3713 Citation Dr, Columbia, MO 65202-4832

Overview

Jbh Prime LLC is a Phlebotomy Technician (organization) practicing in Columbia, Missouri. The National Provider Identifier (NPI) is #1508740507, which was assigned on August 4, 2025, and the registration record was last updated on August 4, 2025. The practitioner's main practice location is at 3713 Citation Dr, Columbia, MO 65202-4832; the contact telephone number is 5732174908, and the fax number is 8558578425. The primary taxonomy of Jbh Prime LLC is Phlebotomy Technician (246RP1900X), with specialization in Phlebotomy. The authorized official for Jbh Prime LLC is Jacquelynne Brockman (Owner/ Daily Operations Manager).

Provider Information

NPI 1508740507
Entity Type Organization
Organization Name JBH PRIME LLC
Provider Name JBH PRIME LLC
Practice Address 3713 Citation Dr
Columbia
MO 65202-4832
Practice Telephone 5732174908
Practice Fax Number 8558578425
Mailing Address 3713 Citation Dr
Columbia
MO 65202-4832
Mailing Telephone 5732174908
Mailing Fax Number 8558578425
Certification Date 2025-08-03
Enumeration Date 2025-08-04
Last Update Date 2025-08-04
Is Organization Subpart N

Authorized Official Information

Official Name JACQUELYNNE BROCKMAN
Official Title OWNER/ DAILY OPERATIONS MANAGER
Credential CPT
Telephone 3143979004

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N305S00000XPoint of Service
Y246RP1900XTechnician, PathologyPhlebotomy193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Ready Set StickDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 246RP1900X
Taxonomy Phlebotomy Technician
Classification Technician, Pathology
Specialization Phlebotomy
Grouping Technologists, Technicians & Other Technical Service Providers
Definition: Definition to come...

Other Taxonomy

Code 305S00000X
Taxonomy Point of Service
Classification Point of Service
Grouping Managed Care Organizations
Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Charmequa Lee 12167 Conrad Cir, Hampton, GA 30228-5134Phlebotomy Technician2025-10-01
Tatiauna Washington 12530 Fairwood Pkwy Ste 102-1148, Bowie, MD 20720-6356Phlebotomy Technician2025-10-10
Health Awareness for Life Inc 1001 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1900Phlebotomy Technician2025-10-10
Shanerica Bennett 3360 Buckboard Rd, Montgomery, AL 36116-1504Phlebotomy Technician2025-10-08
Tiffany Felder 2114 Wright Ave, Richmond, VA 23224-8100Phlebotomy Technician2025-10-03
Home Labs To Go, Inc. Calle Cuatro Caminos #76, Urb. Las Haciendas De Canovanas, Canovanas, PR 00729Phlebotomy Technician2025-10-03
Direct Paramed Mobile Health Solutions 2900 Chamblee Tucker Rd Ste 100, Atlanta, GA 30341-4100Phlebotomy Technician2025-10-06
Levondra Johnigan 3319 Rose St, Chalmette, LA 70043-2027Phlebotomy Technician2025-10-07
Gertrude Teresa Mccleary 3009 Culverson Ave, Evansville, IN 47714-5007Phlebotomy Technician2025-10-04
Monae Stephens 4435 E Chandler Blvd Ste 200, Phoenix, AZ 85048-7651Phlebotomy Technician2025-10-08
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Location Information

Street Address 3713 CITATION DR
City COLUMBIA
State MO
Zip Code 65202-4832
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Brianne Bechtel 3700 Woodland Dr, Columbia, MO 65202-2196Speech-Language Pathologist2024-08-08
Curators of The University of Missouri 7115 East St. Charles Road, Columbia, MO 65202Compounding Pharmacy2020-10-21
Franchot Walker 1804 Heriford Rd, Columbia, MO 65202-1942Professional Counselor2025-07-21
Alternative Community Training, Inc. 2200 Burlington St, Columbia, MO 65202-1987Developmentally Disabled Services Day Training Agency2007-01-23
Rebecca Butler 1201 International Dr, Columbia, MO 65202-1612Psychiatric/Mental Health Nurse Practitioner2024-06-27
Carie Copeland 2191 Smiley Ln, Columbia, MO 65202-1882Occupational Therapist2007-04-10
Ruth Mugo 1201 International Dr, Columbia, MO 65202-1612Psychiatric/Mental Health Nurse Practitioner2022-01-26
Emma Therese Cooper 7115 E Saint Charles Rd, Columbia, MO 65202-0196Family Medicine Physician2022-07-01
Waleed Raheem Abood Abood 1 Hospital Drive, Ste 507, Columbia, MO 65202Neurology Physician2016-06-29
Xandra Michelle Bazar Amistad 1201 International Dr, Columbia, MO 65202-1612Psychiatric/Mental Health Nurse Practitioner2025-06-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.