Organization Active NPI

Jax Laboratories, LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1912716184
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JAX LABORATORIES, LLC
Practice address
6316 San Juan Ave Ste 44B
Jacksonville, FL 32210-2831
Phone
(904) 578-6537
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Yahiya Hussain Junaidy
Title
Owner
Phone
(904) 578-6537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6316 San Juan Ave Ste 44B
Jacksonville, FL 32210-2831

Mailing address

6316 San Juan Ave Ste 44B
Jacksonville, FL 32210-2831
Phone (904) 578-6537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312000941 FL Part B Supplier - Independent Clinical Laboratory 4284155870 Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

6316 San Juan Ave
Ste 44A
Jacksonville, FL 32210

6316 San Juan Ave
Ste 44B
Jacksonville, FL 32210
Phone (872) 330-8215

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1912716184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 SAN JUAN AVE STE 44B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102831",
            "telephone_number": "904-578-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 SAN JUAN AVE STE 44B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102831",
            "telephone_number": "904-578-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "JUNAIDY",
        "authorized_official_first_name": "YAHIYA HUSSAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-578-6537"
    },
    "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 Mar 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.