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PRINCETON CLINICAL LABS
NPI 1205770930
Pathology - Clinical Laboratory Director, Non-physician in Jacksonville, FL

Active since April 15, 2026
12676 PERCY FOREST LN, JACKSONVILLE, FL 32218(904) 840-4888 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Princeton Clinical Labs NPPES

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

PRINCETON CLINICAL LABS (NPI 1205770930) is a healthcare organization registered as a clinical laboratory director, non-physician in Jacksonville, Florida and active in the NPI registry since April 2026. The organization lists Miakka Chiantaye Moon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205770930
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NamePRINCETON CLINICAL LABS
Location Address12676 PERCY FOREST LNJacksonville, FL 32218-1028
Mailing Address12676 Percy Forest LnJacksonville, FL 32218-1028 · (904) 840-4888
Phone(904) 840-4888
Organization SubpartNo
Authorized OfficialMiakka Chiantaye MoonCeo · (904) 840-4888
Enumeration DateApril 15, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1205770930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
12676 PERCY FOREST LN, Jacksonville, FL 32218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Princeton Clinical Labs's NPI number?

The NPI number for Princeton Clinical Labs is 1205770930. It was assigned to this organization in the NPPES registry on April 15, 2026.

Where is Princeton Clinical Labs located?

Princeton Clinical Labs is located at 12676 Percy Forest Ln, Jacksonville, FL 32218. The listed phone number is (904) 840-4888.

What is Princeton Clinical Labs's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Princeton Clinical Labs was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.