Chaseville Road Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHASEVILLE ROAD LABS LLC

Practice address

4251 University Blvd S Ste 202
Jacksonville, FL 32216-4981

Phone

(904) 686-4142

Fax

(904) 592-5396

NPI assigned

Sep 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawson Smith

Title

Owner

Phone

(904) 686-4142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1013897354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 UNIVERSITY BLVD S STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 UNIVERSITY BLVD S STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164981",
            "telephone_number": "904-686-4142",
            "fax_number": "904-592-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASEVILLE ROAD LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-686-4142"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Chase, BCCC, CCLC
• Elva Chase, BCCC
• Kristin Claire Chase, RDH
• Robert Christopher Chase, MD
• Sarah E Chase, PA-C
• Chason Consulting
• Deborah Chastain, ARNP
• Hem Prakash Chataut, M.D.
• Janae Chatman, MSW
• Chelsea Chatmon

• Clinical Medical Laboratory in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.