ANCIENT CITY DIAGNOSTICS, LLC , NPI 1629604046
Military Clinical Medical Laboratory in JACKSONVILLE, FL
Last Updated on : Mar 17,2020
About ANCIENT CITY DIAGNOSTICS, LLC (NPI 1629604046)
ANCIENT CITY DIAGNOSTICS, LLC is a Military Clinical Medical Laboratory in JACKSONVILLE, United States .
1629604046 is NPI number of ANCIENT CITY DIAGNOSTICS, LLC.
ANCIENT CITY DIAGNOSTICS, LLC's primary taxonomy code based on NPI Lookup is 291900000X with license number . This taxonomy code refers to Military Clinical Medical Laboratory.
ANCIENT CITY DIAGNOSTICS, LLC current practice location address is 8563 ARGYLE BUSINESS LOOP STE 5, JACKSONVILLE, FL. ANCIENT CITY DIAGNOSTICS, LLC can be reached out via phone at 904-439-3414 .
You can also correspond with ANCIENT CITY DIAGNOSTICS, LLC through mail at mailing address 150 SOUTHPARK BLVD STE 206, SAINT AUGUSTINE, FL, United States. Mailing address contact number is 904-439-3414.
The enumeration date of ANCIENT CITY DIAGNOSTICS, LLC is 17-Mar-2020. The provider is registered as an Organization and the NPI record was last updated 3 years ago. The authorized official of ANCIENT CITY DIAGNOSTICS, LLC is Christopher Edmondson (owner). Christopher Edmondson can be reached at 9044393414.1629604046 NPI Information
Basic NPI information of ANCIENT CITY DIAGNOSTICS, LLC (NPI 1629604046) is provided below.
| Name | ANCIENT CITY DIAGNOSTICS, LLC |
|---|---|
| National Provider Id (NPI) | 1629604046 |
| Entity Type | Organization |
| Practice Address | 8563 ARGYLE BUSINESS LOOP STE 5,
JACKSONVILLE, FL, United States |
| Practice Telephone | 904-439-3414 |
| Practice Fax Number | |
| Mailing Address | 150 SOUTHPARK BLVD STE 206 ,
SAINT AUGUSTINE, FL, United States |
| Mailing Telephone | 904-439-3414 |
| Mailing Fax Number | |
| Enumeration Date | 17-Mar-2020 |
| Last Updated Date | 17-Mar-2020 |
ANCIENT CITY DIAGNOSTICS, LLC (NPI 1629604046) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 291900000X | 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.
ANCIENT CITY DIAGNOSTICS, LLC (NPI 1629604046) Office Location
Office location of ANCIENT CITY DIAGNOSTICS, LLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1366509994 | SANDRA KAY PONDER | Nurse Practitioner, Family | 701 HUNTER LN SW,
JACKSONVILLE, AL, United States |
02-Jan-2007 |
| 1386829489 | PHYSICIANS CHOICE DIALYSIS OF JACKSONVILLE, LLC | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 331 HENRY ROAD SW,
JACKSONVILLE, AL, United States |
08-Jan-2008 |
| 1538430186 | WILLARD OLIVER YOUNGBLOOD | Pharmacist | 1306 7TH AVE NE,
JACKSONVILLE, AL, United States |
13-Jan-2012 |
| 1841348125 | MARY JENNIFER COFFMAN | Nurse Anesthetist, Certified Registered | 1701 PELHAM RD S,
JACKSONVILLE, AL, United States |
05-Jan-2007 |
| 1033267125 | PAMELA HOPE WILLIS | Physical Therapy Assistant | 156 SCENIC RD,
JACKSONVILLE, AL, United States |
08-Jan-2007 |
| 1487702924 | ADDICTION & MENTAL HEALTH SERVICES, LLC | Substance Abuse Rehabilitation Facility | PO BOX 830585,
BIRMINGHAM, AL, United States |
08-Jan-2007 |
| 1407186703 | CHAD KNIGHT | Social Worker, Clinical | 604 8TH AVE NE,
JACKSONVILLE, AL, United States |
08-Jan-2010 |
| 1821487810 | MARK ANTHONY LUMPKIN | Pharmacist | 1625 PELHAM RD S,
JACKSONVILLE, AL, United States |
14-Jan-2015 |
| 1740754282 | HAYLIE BROOKE WHITESIDE | Student in an Organized Health Care Education/Training Program | 3873 HOLLINGSWORTH RD,
JACKSONVILLE, AL, United States |
17-Jan-2019 |
| 1407320666 | REBECCA TINGLE | Counselor, Professional | PO BOX 1162,
JACKSONVILLE, AL, United States |
21-Jan-2019 |
| 1942718176 | STEPHEN PHILLIP HERRING | Physical Therapist | 199 N BROOKMOORE DR,
COLUMBUS, MS, United States |
23-Jan-2018 |
| 1063784759 | ASHLEY LYNN GARRETT | Counselor, Professional | PO BOX 1162,
JACKSONVILLE, AL, United States |
27-Jan-2012 |
| 1952673576 | GINGER L CAUDELL | Counselor, Professional | PO BOX 1162,
JACKSONVILLE, AL, United States |
27-Jan-2012 |
| 1235316514 | DR MUHAMAD MAZEN FESTOK | Clinic/Center | 1460 2ND AVE SW,
B JACKSONVILLE, AL, United States |
29-Jan-2008 |
| 1205226198 | JACOB BOYDSTON | Pharmacist | 815 PELHAM RD S,
JACKSONVILLE, AL, United States |
29-Jan-2015 |
| 1730643180 | SAMUEL NELSON | Student in an Organized Health Care Education/Training Program | 1003 EAGLE CREST BLVD SW,
JACKSONVILLE, AL, United States |
29-Jan-2019 |
| 1780656819 | TERRY L BONDS | Optometrist | 601 PELHAM RD S,
JACKSONVILLE, AL, United States |
02-Feb-2006 |
| 1114105863 | BONNE L EVANS | Counselor, Mental Health | 614 PELHAM RD S,
JACKSONVILLE, AL, United States |
05-Feb-2008 |
| 1689646135 | BRUNDA REVANNA | Family Medicine | 950 EAGLES LANDING PWKY #321,
STOCKBRIDGE, GA, United States |
07-Feb-2006 |
| 1164562450 | ERIC HUDSON LA FAYETTE | Dentist | 703 PELHAM RD S,
JACKSONVILLE, AL, United States |
07-Feb-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1629604046?1629604046 is the NPI number of ANCIENT CITY DIAGNOSTICS, LLC.
Where is ANCIENT CITY DIAGNOSTICS, LLC located?ANCIENT CITY DIAGNOSTICS, LLC is located at 8563 ARGYLE BUSINESS LOOP STE 5, JACKSONVILLE, FL.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|