OrganizationActive
St. Vincent'S Medical Center, Inc.
NPI 1669556072 · Clinical Medical Laboratory · Jacksonville, FL
Provider details
- NPI number
- 1669556072
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- St. Vincent'S Medical Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Cooper, President(904) 308-8194
- License
- 10D0645096 (FL)
Specialties & taxonomies
Laboratories
Practice location
4203 Belfort Rd
Suite 106
Jacksonville, FL 32216-1409
Phone: (904) 308-5600
Fax: (904) 296-1589
Approximate (ZIP-level) locationGet directions
Mailing address
1 Shircliff Way
Jacksonville, FL 32204-4748
Other names (DBA / former)
- Doing business as
- Ascension St Vincent'S Riverside
- Doing business as
- Consolidated Laboratory Services
- Doing business as
- Consolidated Laboratory Services
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2022-03-21
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.