Organization Active NPI

Mayport Molecular LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1881583920
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20251015002230 FL Part B Supplier - Independent Clinical Laboratory 2163919960 Practice locations: Jacksonville, FL

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
10D2328256Mayport Molecular LLC2550 Mayport Rd Ste 3, Atlantic Beach, FL 32233RegistrationAug 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.