Mayo Clinic Jacksonville in Jacksonville - Clinical Medical Laboratory
Mayo Clinic Jacksonville - NPI 1285621631
Mayo Clinic Jacksonville is a Clinical Medical Laboratory in Jacksonville, Florida. Mayo Clinic Jacksonville practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Mayo Clinic Jacksonville is 1285621631. The last update date is 2021-04-12.
Mayo Clinic Jacksonville's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049537355 and fax number 9049531768. The mailing address for Mayo Clinic Jacksonville is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mayo Clinic Jacksonville |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049537355 |
| Fax Number | 9049531768 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Rigdon Alice |
| Telephone Number | 9049530577 |
NPI Number Detail
| NPI Number | 1285621631 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2021-04-12 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049537355 |
| Fax Number | 9049531768 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 800001521 |
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Definition: (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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| L8533 | MEDICARE PTAN |
Post Comment/ Review Below
What is the Mayo Clinic Jacksonville's 1285621631?
The Mayo Clinic Jacksonville's NPI (National Provider Identifier) Number is 1285621631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mayo Clinic Jacksonville's facilities are situated?
The facilities of Mayo Clinic Jacksonville are physically located at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is the Mayo Clinic Jacksonville's specialty and taxonomy code?
The Mayo Clinic Jacksonville's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285621631 to Mayo Clinic Jacksonville?
The Centers for Medicare & Medicaid Services assigned the 1285621631 to Mayo Clinic Jacksonville on 2005-09-30.
As of what date were the details related to Mayo Clinic Jacksonville most recently updated or revised?
The information pertaining to Mayo Clinic Jacksonville, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-12.