Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Clinic PA

Organization Clinical Medical Laboratory · NPI 1376647545

Jackson Clinic PA is a Clinical Medical Laboratory in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

616 W Forest Ave
Jackson, TN 38301-3902
Phone: (731) 422-0330
Fax: (731) 422-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 0000003266 (TN)

Record details

NPI number1376647545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Rudd — Administrator · (731) 422-0330
Other names Jackson Clinic Pa Laboratory
NPI enumeratedSeptember 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 400, Jackson, TN 38302-0400

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