Organization Active NPI

Sojourn Diagnostic LLC

  • Clinical Medical Laboratory
  • Quincy, FL
National Provider Identifier
1376284927
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOJOURN DIAGNOSTIC LLC
Practice address
1125 Strong Rd Apt 102
Quincy, FL 32351-8829
Phone
(850) 345-0859
NPI assigned
Apr 6, 2022
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Chantel LewisNPI 1649866591
Title
Owner
Phone
(850) 345-0859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1125 Strong Rd Apt 102
Quincy, FL 32351-8829

Mailing address

1845 N MLK Jr Blvd Unit 3355
Tallahassee, FL 32303-4701
Phone (850) 345-0859

Other names 1

  • Sojourn Diagnostic Former legal business name

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
10D2295036Sojourn Wellness LLC1125 Strong Rd, Quincy, FL 32351Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1376284927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N MLK JR BLVD UNIT 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": "1125 STRONG RD APT 102",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323518829",
            "telephone_number": "850-345-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sojourn Diagnostic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sojourn Diagnostic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.