Active NPI
Origin Diagnostics
- Occupational Medicine Clinic/Center
- Jacksonville, FL
National Provider Identifier
1578445821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- ORIGIN DIAGNOSTICS
- Practice address
- 12574 Flagler Center Blvd Ste 101-63
Jacksonville, FL 32258-2614 - Phone
- (800) 440-6695
- Fax
- (323) 203-1648
- NPI assigned
- Jul 25, 2025
- Last updated
- Jul 25, 2025
- 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
- Brian Drew
- Title
- VP Innovation
- Phone
- (317) 502-5695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
12574 Flagler Center Blvd Ste 101-63
Jacksonville, FL 32258-2614
Mailing address
12574 Flagler Center Blvd Ste 101-63
Jacksonville, FL 32258-2614
Phone (800) 440-6695
National Provider Directory
National Provider DirectoryLocations
12574 Flagler Center Blvd
Ste 10163
Jacksonville, FL 32258
Phone (800) 440-6695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1578445821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12574 FLAGLER CENTER BLVD STE 101-63",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322582614",
"telephone_number": "800-440-6695",
"fax_number": "323-203-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12574 FLAGLER CENTER BLVD STE 101-63",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322582614",
"telephone_number": "800-440-6695",
"fax_number": "323-203-1648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGIN DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "DREW",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "VP INNOVATION",
"authorized_official_telephone_number": "317-502-5695"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Christy Orellana
- Jay Spencer Orellana, CRNA
- Oretga Adult Living, LLC
- Kellie Marie Organ, PHYSICIAN ASSISTANT
- Robert James Orgill, CRNA
- Justin Michael Oring, D.O.
- Eliza Lowry Orlandini, BCBA, RBT
- Orlando Physician Specialists LLC (Clermont Cancer Center - Radiation Oncology)
- Christopher Orlando, MD
- Erin Orlando, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.