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ST. VINCENT'S MEDICAL CENTER INC. NPI 1669556072


NPI Information

NPI: 1669556072
Provider Name: ST. VINCENT'S MEDICAL CENTER, INC.

Doing Business As: CONSOLIDATED LABORATORY SERVICES

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
4203 BELFORT RD
SUITE 106
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 308-5600
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ST. VINCENT'S 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. ST. VINCENT'S MEDICAL CENTER, INC. NPI is 1669556072. The provider is registered as an organization entity type.
The provider Is Doing Business As Consolidated Laboratory Services.

The provider's business location address is:

4203 BELFORT RD
SUITE 106
JACKSONVILLE, FL
ZIP 32216-409
Phone: (904) 308-5600
Fax: (904) 296-1589

The provider's authorized official is Jon Cooper .
The authorized official title is President and has the following contact phone number (904) 308-8194.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/1/2021.


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 Laboratory10D0645096FLORIDAYes

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
1010073102MEDICAIDFLORIDA
2L8520OTHERFLORIDABCBS FACILITY

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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