OrganizationActive
Excelsior Diagnostics LLC
NPI 1093494627 · Clinical Medical Laboratory · Jacksonville, FL
Provider details
- NPI number
- 1093494627
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Whitney Whyte, Director(888) 742-6245
Specialties & taxonomies
Laboratories
- Physiological Laboratory293D00000X
Laboratories
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (904) 799-6520
Fax: (904) 799-6588
Street-level locationGet directions
Mailing address
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.