Active NPI
Total U Wellness Solutions, LLC
- Clinical Medical Laboratory
- Jacksonville, FL
National Provider Identifier
1285495333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 10D2295816 | Total U Wellness Solutions, LLC | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.