Princeton Clinical Labs

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

PRINCETON CLINICAL LABS

Practice address

12676 Percy Forest LN
Jacksonville, FL 32218-1028

Phone

(904) 840-4888

NPI assigned

Apr 15, 2026

Organization subpart

No

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

Authorized official

Name

Miakka Chiantaye Moon

Title

Ceo

Phone

(904) 840-4888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1205770930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12676 PERCY FOREST LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181028",
            "telephone_number": "904-840-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12676 PERCY FOREST LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181028",
            "telephone_number": "904-840-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CLINICAL LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MIAKKA",
        "authorized_official_middle_name": "CHIANTAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-840-4888"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talundria Prince, BA
• Tracy Prince
• Vickie A Prince, MD
• Yolanda Prince
• Princenia a Hicks Homemaker Companion Service
• Adam Daniel Principe, PHARMD
• Sana Principe
• Katrina O'Bryant Pringle, CPNP
• Amity Prior
• Prioritize Self, LLC

• Clinical Laboratory Director (Non-physician) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Laboratory Director (Non-physician) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.