Organization Active NPI

PRN Diagnostic Solutions

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1386406569
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRN DIAGNOSTIC SOLUTIONS
Practice address
1200 Riverplace Blvd Ste 105-1073
Jacksonville, FL 32207-9046
Phone
(352) 977-5227
Fax
(800) 882-5037
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Authorized official

Name
Shalonda Walker, CNANPI 1114673035
Title
Owner
Phone
(352) 977-5227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1200 Riverplace Blvd Ste 105-1073
Jacksonville, FL 32207-9046

Mailing address

1200 Riverplace Blvd Ste 105-1073
Jacksonville, FL 32207-9046
Phone (352) 977-5227

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706313600000",
    "number": "1386406569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD STE 105-1073",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079046",
            "telephone_number": "352-977-5227",
            "fax_number": "800-882-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD STE 105-1073",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079046",
            "telephone_number": "352-977-5227",
            "fax_number": "800-882-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN DIAGNOSTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-977-5227",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 27, 2024; 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.