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Ancient City Diagnostics, Llc
Military Clinical Medical Laboratory in Saint Augustine, Florida
NPI 1629604046

Ancient City Diagnostics, Llc is a Military Clinical Medical Laboratory based in Jacksonville, FL. Ancient City Diagnostics, Llc practices in Saint Augustine, FL. The NPI Number for Ancient City Diagnostics, Llc is 1629604046 and holds a License No. (Florida).

The current practice location address for Ancient City Diagnostics, Llc is 150 Southpark Blvd Ste 206, Saint Augustine, FL and can be reached out via phone at 904-439-3414.

Location: 150 Southpark Blvd Ste 206, Saint Augustine, FL, 32244-6613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629604046
Provider Name
Ancient City Diagnostics, Llc
Credential
Provider Entity Type
Organization
Address
150 Southpark Blvd Ste 206, Saint Augustine, FL, 32244-6613
Phone Number
904-439-3414
Fax Number
Provider Enumeration Date
03/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Southpark Blvd Ste 206
City
Saint Augustine
State
Florida
Zip
32086-5179
Phone Number
904-439-3414
Fax Number
person
Provider Business Mailing Address Details
Address
150 Southpark Blvd Ste 206
City
Saint Augustine
State
Florida
Zip
32086-5179
Phone Number
904-439-3414
Fax Number
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Military Clinical Medical Laboratory
Speciality
-
Taxonomy
291900000X
License No.
()
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.
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