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

Q: 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.

Q: What is Mayo Clinic's specialty?

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

Q: When was this NPI record last updated?

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

Active since April 16, 2015CLIA Certified · 3 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: July 26, 2026.

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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 3 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 3

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 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 Waiver 10D2156725

Mayo Clinic Outpatient Dialysis Center · Jacksonville, FL

Active · expires Oct 23, 2026

CLIA Number10D2156725

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateOctober 24, 2024

Certificate Expiration DateOctober 23, 2026

Laboratory DirectorGretchen S. Johns

Laboratory Phone(904) 953-2257

Laboratory LocationMayo Clinic Outpatient Dialysis Center4500 San Pablo Rd South, 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