Ancient City Diagnostics, LLC
NPI 1629604046 · Military Clinical Medical Laboratory · Saint Augustine, FL
Ancient City Diagnostics, LLC is a Military Clinical Medical Laboratory organization in Saint Augustine, FL (NPI 1629604046).
Provider details
- NPI number
- 1629604046
- Entity type
- Organization
- Primary specialty
- Military Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Christopher Edmondson, Owner(904) 439-3414
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Frequently asked questions
- What is Ancient City Diagnostics, LLC's NPI number?
- Ancient City Diagnostics, LLC's National Provider Identifier (NPI) is 1629604046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ancient City Diagnostics, LLC?
- Ancient City Diagnostics, LLC is classified in the NPPES registry as Military Clinical Medical Laboratory (Laboratories).
- Where is Ancient City Diagnostics, LLC located?
- Ancient City Diagnostics, LLC's practice location on file with NPPES is 150 Southpark Blvd Ste 206, Saint Augustine, FL 32086-5179.
- What is Ancient City Diagnostics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ancient City Diagnostics, LLC is (904) 439-3414.
- Who is the authorized official for Ancient City Diagnostics, LLC?
- The authorized official listed on Ancient City Diagnostics, LLC's NPPES record is Christopher Edmondson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ancient City Diagnostics, LLC's NPI active?
- Yes — Ancient City Diagnostics, LLC's NPI (1629604046) is active in the NPPES registry as of the last update on 2020-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.