10D0860840 CLIA NUMBER - REGIONAL OBSTETRIC CONSULTANTS

Laboratory Demographics

CLIA Number: 10D0860840

Facility Name: REGIONAL OBSTETRIC CONSULTANTS

Facility Address:
836 PRUDENTIAL DRIVE #1800
JACKSONVILLE, FL
ZIP 32207
Get Directions

Facility Phone Number: 904 398-7684

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215078977

Taxonomy: 207VM0101X - Obstetrics & Gynecology
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

CLIA Record

Field Name	Field Value
CLIA Number	10D0860840
LAB Type	Physician Office
Facility Name	REGIONAL OBSTETRIC CONSULTANTS
Street	836 PRUDENTIAL DRIVE #1800
City	JACKSONVILLE
State	FL
ZIP	32207
Phone	904 398-7684
CertificateType	4
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024