Sojourn Diagnostic

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

SOJOURN DIAGNOSTIC

Practice address

1845 N MLK Jr Blvd # 3355
Tallahassee, FL 32303-4701

Phone

(850) 345-0859

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Chantel Lewis, RN

Title

Owner

Phone

(850) 345-0859

Specialties & licenses 1

Addresses

Other names 1

• Sojourn Healthcare Former legal business name

Tax ID family

Sojourn Diagnostic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sojourn Diagnostic LLC

  • Clinical Medical Laboratory
  • Quincy, FL
  • NPI 1376284927
  NPD tax ID

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1134860778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N MLK JR BLVD # 3355",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034701",
            "telephone_number": "850-345-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N MLK JR BLVD # 3355",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034701",
            "telephone_number": "850-345-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-345-0859",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sojourn Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Matthew Snyder, M.D.
• Katherin Klokkenga Snyder, RD, LD/N, CDE
• Lydia Snyder
• Jon J Soble, MD
• Lisemona Soivilien, RRT
• Rajendra Solanki
• Kristine Anna Solberger, LCSW
• Clara Soles, LMHC
• Farah K Soliman, M.D.
• Jamie Soljour

• Medical Laboratory Technician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Medical Laboratory Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.