Organization · Type 2 NPI
Ancient City Diagnostics, LLC
Military Clinical Medical Laboratory · St. Augustine, FL
NPI number
1629604046
Active
Practice location
150 Southpark Blvd Ste 206
St. Augustine, FL 32086-5179
Mailing address
8563 Argyle Business Loop Ste 5
Jacksonville, FL 32244-6613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Clinical Medical Laboratory Primary | 291900000X | None listed |
Military Clinical Medical Laboratory: A Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology.
About NPI 1629604046
Ancient City Diagnostics, LLC's National Provider Identifier is 1629604046, issued on Mar 17, 2020. The primary taxonomy on file is Military Clinical Medical Laboratory (291900000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 17, 2020.