Organization Active NPI

Client Amenity Direct LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1629992896
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CLIENT AMENITY DIRECT LLC
Practice address
12525 Tibbets LN Unit 4410
Jacksonville, FL 32218-2696
Phone
(470) 987-8124
NPI assigned
Aug 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Sharlyne Marshall
Title
Compliance Director
Phone
(470) 987-8124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12525 Tibbets LN Unit 4410
Jacksonville, FL 32218-2696

Mailing address

4108 Blanding Blvd Ste C
Jacksonville, FL 32210-5419
Phone (888) 257-5784

Other practice location 1

4108 Blanding Blvd Ste C
Jacksonville, FL 32210-5419
Phone (470) 987-8124

National Provider Directory

National Provider Directory

Locations

4108 Blanding Blvd
Ste C
Jacksonville, FL 32210

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1629992896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 BLANDING BLVD STE C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322105419",
            "telephone_number": "888-257-5784",
            "fax_number": "904-820-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 TIBBETS LN UNIT 4410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182696",
            "telephone_number": "470-987-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4108 Blanding Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322105419",
            "country_code": "US",
            "telephone_number": "470-987-8124",
            "fax_number": "470-987-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLIENT AMENITY DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SHARLYNE",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "470-987-8124"
    },
    "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 Aug 8, 2026; 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.