Organization Active NPI

First Coast Laboratories

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1952825481
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FIRST COAST LABORATORIES
Practice address
6900 Southpoint Dr N Ste 100
Jacksonville, FL 32216-8008
Phone
(904) 551-2434
Fax
(904) 337-0673
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Mr. Carl J McCall
Title
Ceo
Phone
(904) 551-2434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6900 Southpoint Dr N Ste 100
Jacksonville, FL 32216-8008

Mailing address

6900 Southpoint Dr N Ste 100
Jacksonville, FL 32216-8008
Phone (904) 551-2434

Other practice location 1

3325 S US Highway 441 Ste 101A
Lake City, FL 32025-0225
Phone (386) 965-3044

National Provider Directory

National Provider Directory

Locations

3325 S US Highway 441
Ste 101A
Lake City, FL 32025
Phone (386) 965-3044

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1952825481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 SOUTHPOINT DR N STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168008",
            "telephone_number": "904-551-2434",
            "fax_number": "904-337-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 SOUTHPOINT DR N STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168008",
            "telephone_number": "904-551-2434",
            "fax_number": "904-337-0673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 S US Highway 441 Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250225",
            "country_code": "US",
            "telephone_number": "386-965-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST COAST LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-551-2434",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Dec 11, 2019; 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.