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MAYO CLINIC
NPI 1023405065
Clinic/Center - Medical Specialty in Jacksonville, FL

Active since April 16, 2015CLIA Certified · 10 labs
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-7330 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mayo Clinic NPPES

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

MAYO CLINIC (NPI 1023405065) is a healthcare organization registered as a medical specialty in Jacksonville, Florida and active in the NPI registry since April 2015. The organization holds 10 active CLIA laboratory certificates and lists David Thiel, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1023405065
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMAYO CLINIC
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd.Jacksonville, FL 32224 · (904) 953-7330
Phone(904) 953-7330
Organization SubpartNo
Authorized OfficialDavid ThielDepartment Chair · (904) 953-7330
Enumeration DateApril 16, 2015
✔ NPI 1023405065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · PA 3550
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4500 SAN PABLO RD S, Jacksonville, FL 32224
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CLIA Laboratory Certificates CMS CLIA 10

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 10D2149164

Mayo Clinic Mangurian Laboratory · Jacksonville, FL
Active · expires May 24, 2028
CLIA Number10D2149164
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorChristopher P. Marquez
Laboratory Phone(904) 953-2257
Laboratory LocationMayo Clinic Mangurian Laboratory4500 San Pablo Road Mangurian Bldg, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2340332

Mayo Clinic Jacksonville · Jacksonville, FL
Active · expires Mar 15, 2028
CLIA Number10D2340332
Laboratory TypeAmbulance
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorKerry Bachista
Laboratory Phone(904) 956-1820
Laboratory LocationMayo Clinic Jacksonville4500 San Pablo Road, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0688439

Mayo Clinic Florida Blood Gas Lab · Jacksonville, FL
Active · expires Nov 30, 2027
CLIA Number10D0688439
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Jonathan Hoyne
Laboratory Phone(904) 953-2257
Laboratory LocationMayo Clinic Florida Blood Gas Lab4500 San Pablo Rd, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 10D2272872

Mayo Clinic Jacksonville Electron Microscopy Lab · Jacksonville, FL
Active · expires Oct 1, 2027
CLIA Number10D2272872
Laboratory TypeIndependent
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorFadi E. Salem
Laboratory Phone(904) 953-2257
Laboratory LocationMayo Clinic Jacksonville Electron Microscopy Lab4500 San Pablo Road, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2331395

Mayo Clinic Jacksonville Poc · Jacksonville, FL
Active · expires Sep 30, 2027
CLIA Number10D2331395
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorJeffrey S. Dlott
Laboratory Phone(904) 953-2257
Laboratory LocationMayo Clinic Jacksonville Poc4500 San Pablo Road, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2169851

Mayo Clinic Jacksonville Medical Transport · Jacksonville, FL
Active · expires Jul 28, 2027
CLIA Number10D2169851
Laboratory TypeAmbulance
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorGretchen Johns
Laboratory Phone(904) 953-2257
Laboratory LocationMayo Clinic Jacksonville Medical Transport4500 San Pablo Road Attn Rhonda Grant, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
DR. JAMI ANN ROTHE KINNUCAN M.D.
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
GLENN SHI MD
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MICHELLE TULANG MD
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
RICARDO PAGAN MD
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CRYSTAL LYNN CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
LAUREN E FREED CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. MELINA VOLNER SOMMESE PA-C
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2594

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 Mayo Clinic's NPI number?

The NPI number for Mayo Clinic is 1023405065. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Mayo Clinic located?

Mayo Clinic is located at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-7330.

What is Mayo Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Mayo Clinic hold CLIA laboratory certificates?

Yes. 10 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.

When was this NPI record last updated?

The NPPES record for Mayo Clinic was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.