Organization · Type 2 NPI

St. Vincent's Medical Center, Inc.

Clinical Medical Laboratory · Jacksonville, FL

NPI number 1669556072 Active

Practice location

4203 Belfort Rd, Suite 106
Jacksonville, FL 32216-1409

Call (904) 308-5600 Map

Fax (904) 296-1589

Mailing address

1 Shircliff Way
Jacksonville, FL 32204-4748

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	10D0645096 (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…

16 other providers at this address

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NPI record

NPI: 1669556072
Entity type: Organization (Type 2)
Issued: Oct 24, 2006
Last updated: Mar 21, 2022
Status: Active
Subpart: Yes of St. Vincent's Medical Center, Inc.

Other names

<unavail>
Ascension ST Vincent's Riverside · doing business as
Consolidated Laboratory Services · doing business as
Consolidated Laboratory Services · doing business as

Authorized official

Jon Cooper
President
(904) 308-8194

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669556072

St. Vincent's Medical Center, Inc.'s National Provider Identifier is 1669556072, issued on Oct 24, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 21, 2022.