Organization Active NPI

San Juan Diagnostics LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1508754326
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SAN JUAN DIAGNOSTICS LLC
Practice address
6316 San Juan Ave Ste 27
Jacksonville, FL 32210-2883
Phone
(904) 490-8316
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Salider Kumar
Title
Owner
Phone
(470) 945-4266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6316 San Juan Ave Ste 27
Jacksonville, FL 32210-2883

Mailing address

6316 San Juan Ave Ste 27
Jacksonville, FL 32210-2883
Phone (904) 490-8316

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
10D2328250San Juan Diagnostics LLC6316 San Juan Ave Ste 27, Jacksonville, FL 32210RegistrationAug 5, 2027

National Provider Directory

National Provider Directory

Locations

6316 San Juan Ave
Ste 27
Jacksonville, FL 32210
Phone (904) 490-8316

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1508754326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 SAN JUAN AVE STE 27",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102883",
            "telephone_number": "904-490-8316",
            "fax_number": "904-490-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 SAN JUAN AVE STE 27",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102883",
            "telephone_number": "904-490-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SALIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-945-4266"
    },
    "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 Feb 12, 2026; 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.