Hometolab Diagnostic Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HOMETOLAB DIAGNOSTIC SERVICES LLC

Practice address

243 Arlington Rd N
Jacksonville, FL 32211-7857

Phone

(727) 473-5834

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer HudsonNPI 1063383172

Title

Owner

Phone

(727) 473-5834

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Hudson

  • Phlebotomy Technician
  • Jacksonville, FL
  • NPI 1063383172

  Clinical Medical Laboratory

  NPD Authorized official

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762041600000",
    "number": "1174495220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ARLINGTON RD N STE 1B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117869",
            "telephone_number": "727-473-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ARLINGTON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117857",
            "telephone_number": "727-473-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOLAB DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-473-5834"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 2, 2025; 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.