STATE OF FLORIDA
NPI 1093138760
Clinical Medical Laboratory in Jacksonville, FL

Active since January 30, 2014
1217 N PEARL ST, JACKSONVILLE, FL 32202(904) 791-1559 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About State Of Florida NPPES

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

STATE OF FLORIDA (NPI 1093138760) is a healthcare organization registered as a clinical medical laboratory in Jacksonville, Florida and active in the NPI registry since January 2014. The organization lists Dean Edward Willis, Director, as its authorized official.

NPPES Registry Identity

NPI1093138760
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSTATE OF FLORIDA
Location Address1217 N PEARL STJacksonville, FL 32202-3926
Mailing Address1217 N Pearl StJacksonville, FL 32202-3926 · (904) 791-1559
Organization SubpartNo
Authorized OfficialDean Edward WillisDirector · (904) 791-1559
Enumeration DateJanuary 30, 2014
NPI 1093138760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in FL · DI003429
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1217 N PEARL ST, Jacksonville, FL 32202

Other Providers at the Same Location NPPES 5

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

Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202
Clinical Medical Laboratory
1217 N PEARL ST
JACKSONVILLE, FL 32202

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 State Of Florida's NPI number?

The NPI number for State Of Florida is 1093138760. It was assigned to this organization in the NPPES registry on January 30, 2014.

Where is State Of Florida located?

State Of Florida is located at 1217 N Pearl St, Jacksonville, FL 32202. The listed phone number is (904) 791-1559.

What is State Of Florida's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for State Of Florida was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.