Active NPI
McCall & Erler, LLC
- Clinical Medical Laboratory
- Jacksonville, FL
National Provider Identifier
1942716378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MCCALL & ERLER, LLC
- Doing business as
- Innovated Lab Testing
- Practice address
- 3604 University Blvd S Ste 103
Jacksonville, FL 32216-4209 - Phone
- (904) 254-2988
- NPI assigned
- Dec 21, 2017
- 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
- Mr. Randall Erler
- Title
- Ceo
- Phone
- (904) 254-2988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3604 University Blvd S Ste 103
Jacksonville, FL 32216-4209
Mailing address
3604 University Blvd S Ste 202
Jacksonville, FL 32216-4209
Other names 1
- Innovated Lab Testing
National Provider Directory
National Provider DirectoryLocations
3604 University Blvd S
Ste 202
Jacksonville, FL 32216
3604 University Blvd S
Ste 103
Jacksonville, FL 32216
Phone (904) 254-2988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513814400000",
"number": "1942716378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 UNIVERSITY BLVD S STE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 UNIVERSITY BLVD S STE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164209",
"telephone_number": "904-254-2988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCALL & ERLER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-21",
"last_updated": "2017-12-21",
"status": "A",
"authorized_official_last_name": "ERLER",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-254-2988",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innovated Lab Testing",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.