| NPI | 1285621631 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-09-30 |
| Last Updated | 2026-04-15 |
| Authorized Official | Alice Rigdon Chief Financial Officer Phone: 9049530577 |
| Mailing Address | 4500 San Pablo Rd S Jacksonville, FL 32224-1865 United States Phone: (904) 953-7355 | Fax: (904) 953-1768 📍 View Map |
| Primary Practice Address | 4500 San Pablo Rd S Jacksonville, FL 32224-1865 United States Phone: (904) 953-7355 | Fax: (904) 953-1768 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | L8533 | Medicare PTAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 291U00000X – Clinical Medical Laboratory | FL | 800001521 |
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About NPI 1285621631
Mayo Clinic Jacksonville is an organization registered in the CMS NPPES NPI Registry with NPI number 1285621631. The primary specialty listed is Clinical Medical Laboratory. The organization is located in Jacksonville, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285621631?
NPI 1285621631 belongs to Mayo Clinic Jacksonville, a Clinical Medical Laboratory in Jacksonville, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285621631 active?
The current status of NPI 1285621631 in the NPPES registry is Active. The record was last updated on 2026-04-15.
What specialty is NPI 1285621631?
NPI 1285621631 is classified under the taxonomy Clinical Medical Laboratory. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1285621631?
You can verify NPI 1285621631 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1285621631?
The primary practice address on file for NPI 1285621631 is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285621631 issued?
NPI 1285621631 was first issued (enumerated) on 2005-09-30. The NPPES record was last updated on 2026-04-15.
Practice Location Map
Mayo Clinic Jacksonville is located at 4500 San Pablo Rd S, Jacksonville, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mayo Clinic Jacksonville. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1285621631. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinical Medical Laboratory | 800001521 | FL |