Superior Clinical Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUPERIOR CLINICAL LABS, LLC

Practice address

7685 103Rd St Ste 1a
Jacksonville, FL 32210-9326

Phone

(904) 647-7404

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Maria Gonzalez

Title

Manager

Phone

(904) 647-7404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1982193330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 103RD ST STE 1A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322109326",
            "telephone_number": "904-647-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 103RD ST STE 1A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322109326",
            "telephone_number": "904-647-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CLINICAL LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-647-7404"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine State Transport, LLC
• Sunshine Support Services
• Sunshine Support Services, LLC
• Sunshine Therapy Center, Inc.
• Sunzup Counseling and Wellness
• Superior Community Services LLC
• Superior Physical Medicine LLC
• Superior Senior & Disabled Care LLC
• Superior Support Healthcare Agency Inc.
• Supertask Living Solutions LLC

• Clinical Medical Laboratory in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.