NPIMap

Organization Active NPI

River Town Diagnostics LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1770137754
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RIVER TOWN DIAGNOSTICS LLC
Practice address
8563 Argyle Business Loop Ste 2
Jacksonville, FL 32244-6613
Phone
(929) 650-6052
Fax
(904) 833-3362
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Michael Roizin
Title
Owner
Phone
(929) 650-6052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8563 Argyle Business Loop Ste 2
Jacksonville, FL 32244-6613

Mailing address

8563 Argyle Business Loop Ste 2
Jacksonville, FL 32244-6613
Phone (929) 650-6052

Other identifiers 2

IdentifierTypeStateIssuer
10D2173247OtherFLCLIA
29790OtherFLCOLA ACCREDITATION

National Provider Directory

National Provider Directory

Locations

8563 Argyle Business Loop
Ste 5
Jacksonville, FL 32244

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1770137754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8563 ARGYLE BUSINESS LOOP STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446613",
            "telephone_number": "929-650-6052",
            "fax_number": "904-833-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8563 ARGYLE BUSINESS LOOP STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446613",
            "telephone_number": "929-650-6052",
            "fax_number": "904-833-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TOWN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ROIZIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-650-6052"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2173247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA ACCREDITATION",
            "identifier": "29790",
            "state": "FL"
        }
    ],
    "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 16, 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.

Verify at the official NPI Registry.