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ANCIENT CITY DIAGNOSTICS, LLC
NPI 1629604046
Military Clinical Medical Laboratory in Saint Augustine, FL

Active since March 17, 2020
150 SOUTHPARK BLVD STE 206, SAINT AUGUSTINE, FL 32086(904) 439-3414 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ancient City Diagnostics, Llc NPPES

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

ANCIENT CITY DIAGNOSTICS, LLC (NPI 1629604046) is a healthcare organization registered as a military clinical medical laboratory in Saint Augustine, Florida and active in the NPI registry since March 2020. The organization lists Christopher Edmondson, Owner, as its authorized official.

NPPES Registry Identity

NPI1629604046
Entity TypeOrganization
Primary Taxonomy291900000X
Legal Business NameANCIENT CITY DIAGNOSTICS, LLC
Location Address150 SOUTHPARK BLVD STE 206Saint Augustine, FL 32086-5179
Mailing Address8563 Argyle Business Loop Ste 5Jacksonville, FL 32244-6613 · (904) 439-3414
Phone(904) 439-3414
Organization SubpartNo
Authorized OfficialChristopher EdmondsonOwner · (904) 439-3414
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1629604046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Clinical Medical LaboratoryLaboratories
Taxonomy Code291900000X
Definition
A Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology.
150 SOUTHPARK BLVD STE 206, Saint Augustine, FL 32086
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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 Ancient City Diagnostics, LLC's NPI number?

The NPI number for Ancient City Diagnostics, LLC is 1629604046. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Ancient City Diagnostics, LLC located?

Ancient City Diagnostics, LLC is located at 150 Southpark Blvd Ste 206, Saint Augustine, FL 32086. The listed phone number is (904) 439-3414.

What is Ancient City Diagnostics, LLC's specialty?

The primary specialty registered for this NPI is Military Clinical Medical Laboratory with taxonomy code 291900000X.

When was this NPI record last updated?

The NPPES record for Ancient City Diagnostics, LLC was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.