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MCIVER UROLOGICAL CLINIC
NPI 1457529786
Urology in Jacksonville, FL

Active since February 20, 2008CLIA Certified · 2 labs
710 LOMAX ST, JACKSONVILLE, FL 32204(904) 355-6583(904) 355-4922 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mciver Urological Clinic NPPES

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

MCIVER UROLOGICAL CLINIC (NPI 1457529786) is a healthcare organization registered as an urology in Jacksonville, Florida and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists Robert J Phelan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457529786
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameINTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Location Address710 LOMAX STJacksonville, FL 32204-4004
Mailing Address9143 Philips Hwy, Suite 560Jacksonville, FL 32256-1348 · (904) 363-7453 · Fax (904) 538-3672
Phone(904) 355-6583
Fax(904) 355-4922
Organization SubpartNo
Authorized OfficialRobert J PhelanExecutive Director · (904) 363-2113
Enumeration DateFebruary 20, 2008
Last NPPES UpdateMarch 19, 2009
✔ NPI 1457529786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
710 LOMAX ST, Jacksonville, FL 32204
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Other Names 1

Doing Business AsMciver Urological Clinic

Other Identifiers 1

OtherDC6938FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2065833

Mciver Urological Clinic · Jacksonville, FL
Active · expires Sep 15, 2027
CLIA Number10D2065833
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorClint Collins
Laboratory Phone(904) 355-6583
Laboratory LocationMciver Urological Clinic8774 Perimeter Park Blvd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2292182

Florida Physician Specialists Dba Mciver Urology Clinic · St Johns, FL
Active · expires Oct 19, 2027
CLIA Number10D2292182
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorMarwan Ali
Laboratory Phone(904) 355-6583
Laboratory LocationFlorida Physician Specialists Dba Mciver Urology Clinic300 Saint Elizabeth Way Suite 145, St Johns, FL 32259
CLIA data matches this NPI record on: Phone
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.

KYLE HOLLINGSWORTH PA-C, ATC
Physician Assistant
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
JESSICA YOUNG
Physician Assistant
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
CHARLES GARY COBB MD
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
MRS. TARA A ROMEU PA-C
Physician Assistant
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
DOUGLAS ALLEN SWARTZ MD
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
SHANNON MARIE CORDES ARNP
Nurse Practitioner
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
RICHARD HARLOW LEWIS MD
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583
CHARLES MARK HOMRA MD
Urology
710 LOMAX ST
JACKSONVILLE, FL 32204
Duval County (904) 355-6583

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 Integrated Community Oncology Network LLC's NPI number?

The NPI number for Integrated Community Oncology Network LLC is 1457529786. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider is doing business as Mciver Urological Clinic.

Where is Integrated Community Oncology Network LLC located?

Integrated Community Oncology Network LLC is located at 710 Lomax St, Jacksonville, FL 32204. The listed phone number is (904) 355-6583.

What is Integrated Community Oncology Network LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Integrated Community Oncology Network 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.

When was this NPI record last updated?

The NPPES record for Integrated Community Oncology Network LLC was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.