RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC
NPI 1013739440
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Q: What is Riverside Kingsley Endoscopy Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 28, 2024CLIA Certified · 2 labs

2151 RIVERSIDE AVE STE 1, JACKSONVILLE, FL 32204(904) 388-8686 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverside Kingsley Endoscopy Surgicenter, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC (NPI 1013739440), doing business as Riverside Endoscopy Center, is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since October 2024. The organization holds 2 active CLIA laboratory certificates and lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1013739440

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC

Location Address2151 RIVERSIDE AVE STE 1Jacksonville, FL 32204-4416

Mailing Address2151 Riverside Ave Ste 1Jacksonville, FL 32204-4416

Phone(904) 388-8686

Organization SubpartNo

Authorized OfficialDavid McknightVp/cfo · (972) 789-2816

Enumeration DateOctober 28, 2024

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1013739440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2151 RIVERSIDE AVE STE 1, Jacksonville, FL 32204

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Other Names 1

Doing Business AsRiverside Endoscopy Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2070076

Riverside Kingsley Endoscopy Surgicenter Llcdba Riverside Endoscopy Center · Jacksonville, FL

Active · expires Dec 9, 2027

CLIA Number10D2070076

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 10, 2025

Certificate Expiration DateDecember 9, 2027

Laboratory DirectorAjmal Hameed

Laboratory Phone(904) 388-8686

Laboratory LocationRiverside Kingsley Endoscopy Surgicenter Llcdba Riverside Endoscopy Center2151 Riverside Avenue Suite 1, Jacksonville, FL 32204

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2229362

Riverside Kingsley Endoscopy Surgicenter LLC Dba Kingsley Endoscopy Center · Orange Park, FL

Active · expires Jul 11, 2027

CLIA Number10D2229362

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 12, 2025

Certificate Expiration DateJuly 11, 2027

Laboratory DirectorSamir Habashi

Laboratory Phone(904) 388-8686

Laboratory LocationRiverside Kingsley Endoscopy Surgicenter LLC Dba Kingsley Endoscopy Center870 Kingsley Avenue, Orange Park, FL 32073

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Kingsley Endoscopy Surgicenter, LLC's NPI number?

The NPI number for Riverside Kingsley Endoscopy Surgicenter, LLC is 1013739440. It was assigned to this organization in the NPPES registry on October 28, 2024. The provider is doing business as Riverside Endoscopy Center.

Where is Riverside Kingsley Endoscopy Surgicenter, LLC located?

Riverside Kingsley Endoscopy Surgicenter, LLC is located at 2151 Riverside Ave Ste 1, Jacksonville, FL 32204. The listed phone number is (904) 388-8686.

What is Riverside Kingsley Endoscopy Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Riverside Kingsley Endoscopy Surgicenter, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Riverside Kingsley Endoscopy Surgicenter, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Riverside Kingsley Endoscopy Surgicenter, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Kingsley Endoscopy Surgicenter, LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.