Organization · Type 2 NPI

State of Florida

Clinical Medical Laboratory · Jacksonville, FL

NPI number 1093138760 Active

Practice location

1217 N Pearl St
Jacksonville, FL 32202-3926

Call (904) 791-1559 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XDI003429 (FL)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1093138760

State of Florida's National Provider Identifier is 1093138760, issued on Jan 30, 2014. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 30, 2014.