Organization Active NPI

Total U Wellness Solutions, LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1285495333
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TOTAL U WELLNESS SOLUTIONS, LLC
Practice address
11111 San Jose Blvd
BLDG. 56, Ste 1268
Jacksonville, FL 32223-7946
Phone
(904) 881-8908
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Demetrice Dowdell
Title
Laboratory Director
Phone
(904) 881-8908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11111 San Jose Blvd
BLDG. 56, Ste 1268
Jacksonville, FL 32223-7946

Mailing address

11111 San Jose Blvd
BLDG. 56, Ste 1268
Jacksonville, FL 32223-7946
Phone (904) 881-8908

Other names 1

  • Total U Mobile Lab & Wellness Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2295816Total U Wellness Solutions, LLC11111 San Jose Blvd BLDG 56 Ste 1268, Jacksonville, FL 32223Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1285495333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 SAN JOSE BLVD",
            "address_2": "BLDG. 56, STE 1268",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237946",
            "telephone_number": "904-881-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 SAN JOSE BLVD",
            "address_2": "BLDG. 56, STE 1268",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237946",
            "telephone_number": "904-881-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL U WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "DOWDELL",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "904-881-8908"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total U Mobile Lab & Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.

Verify at the official NPI Registry.