Active NPI
Excelsior Diagnostics LLC
- Clinical Medical Laboratory
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- EXCELSIOR DIAGNOSTICS LLC
- Practice address
- 12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486 - Phone
- (904) 799-6520
- Fax
- (904) 799-6588
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Whitney Whyte
- Title
- Director
- Phone
- (888) 742-6245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary | ||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Mailing address
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone (888) 742-6245
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2283166 | Excelsior Diagnostics LLC | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Jacksonville, FL
- NPI 1306525928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1093494627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12724 GRAN BAY PKWY W STE 410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322589486",
"telephone_number": "888-742-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12724 GRAN BAY PKWY W STE 410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322589486",
"telephone_number": "904-799-6520",
"fax_number": "904-799-6588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELSIOR DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-12",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "WHYTE",
"authorized_official_first_name": "WHITNEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "888-742-6245"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Excel Beyond Transportation
- Excel Pharmacy Partners LLC
- Excel Pharmacy Partners LLC
- Excellsior Home Health LLC
- Excelsior Community Services, LLC
- Exceptional Comfort and Care, LLC
- Exceptional Wellness of Florida Incorporated
- Exclusive Home Care Agency LLC
- Exie-Lent Transportation, LLC
- Existing Assistance Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.