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SHANDS JACKSONVILLE MEDICAL CENTER INC NPI 1144302761


NPI Information

NPI: 1144302761
Provider Name: SHANDS JACKSONVILLE MEDICAL CENTER INC

Other Name: LABORATORY FOR TRANSPLANTATION AND CELLULAR IMMUNOLOGY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
655 W 8TH ST
1ST FLOOR PAVILION NORTH, 1900 BOULEVARD ST.
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-9875
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SHANDS JACKSONVILLE MEDICAL CENTER INC is a clinical medical laboratory in Jacksonville, FL. The provider is (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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SHANDS JACKSONVILLE MEDICAL CENTER INC NPI is 1144302761. The provider is registered as an organization entity type.
The provider Other Name Is Laboratory For Transplantation And Cellular Immunology.

The provider's business location address is:

655 W 8TH ST
1ST FLOOR PAVILION NORTH, 1900 BOULEVARD ST.
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-9875
Fax: (904) 244-9861

The provider's authorized official is Michael E Gleason .
The authorized official title is VP OF FINANCE AND TREASURERFinance And Treasurer and has the following contact phone number (904) 244-8675.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 12/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory800001707FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110-HL03MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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