Active NPI
Mayport Molecular LLC
- Clinical Medical Laboratory
- Jacksonville, FL
National Provider Identifier
1881583920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MAYPORT MOLECULAR LLC
- Practice address
- 2550 Mayport Rd Ste 3
Jacksonville, FL 32233-2872 - Phone
- (904) 490-8316
- NPI assigned
- Jul 2, 2025
- Last updated
- Apr 24, 2026
- 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
- Aman Poonia
- Title
- Owner
- Phone
- (470) 945-4266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2550 Mayport Rd Ste 3
Jacksonville, FL 32233-2872
Mailing address
2550 Mayport Rd Ste 3
Jacksonville, FL 32233-2872
Phone (904) 490-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251015002230 | FL | Part B Supplier - Independent Clinical Laboratory | 2163919960 | Practice locations: Jacksonville, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2328256 | Mayport Molecular LLC | Registration | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
2550 Mayport Rd
Ste 3
Jacksonville, FL 32233
Phone (904) 490-8316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1881583920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 MAYPORT RD STE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322332872",
"telephone_number": "904-490-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 MAYPORT RD STE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322332872",
"telephone_number": "904-490-8316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYPORT MOLECULAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "POONIA",
"authorized_official_first_name": "AMAN",
"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 Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.