ST VINCENTS MEDICAL CENTER INC (NPI# 1669556072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669556072 |
| Entity Type | Organization |
| Organization Name | ST VINCENTS MEDICAL CENTER INC |
| Other Organization Name | CONSOLIDATED LABORATORY SERVICES |
| Practice Address |
4203 Belfort Rd Suite 106 Jacksonville FL 32216-1409 |
| Practice Telephone | 9043085600 |
| Practice Fax Number | 9042961589 |
| Mailing Telephone | 9043085600 |
| Mailing Fax Number | 9042961589 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | GENE MIYAMOTO (SYSTEM COO) |
| Authorized Official Telephone | 9043081290 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST VINCENTS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 10D0645096 | FL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010073100 | 05 | |
| FL | BCBS FACILITY | L8520 | 01 |
| Other Name | Type Code |
|---|---|
| Consolidated Laboratory Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629318993 | St Vincents Medical Center Inc | Psychiatric Unit | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2013-02-25 |
| 1427005131 | St Vincents Medical Center Inc | Clinic/Center | 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 2006-05-28 |
| 1134117575 | St Vincents Medical Center Inc | General Acute Care Hospital | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2005-10-10 |
| Street Address |
4203 BELFORT RD SUITE 106 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750364667 | Christina Marie Longobucco | Physical Therapist | 4203 Belfort Rd, Jacksonville, FL 32216-1409 | 2005-11-23 |
| 1467087346 | Kathryn Pitocchelli | Dietitian, Registered | 4203 Belfort Rd, Jacksonville, FL 32216-1409 | 2020-03-11 |
| 1215289723 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 | 2012-10-08 |
| 1003171463 | Kathryn Elizabeth Melko | Dietitian, Registered | 4203 Belfort Rd, Suite 302, Jacksonville, FL 32216-1409 | 2012-07-11 |
| 1164742144 | Nitika Malhotra | Internal Medicine | 4203 Belfort Rd, Suite 315, Jacksonville, FL 32216-1409 | 2010-06-01 |
| 1386887560 | Angela Kathleen Stalvey | Nurse Practitioner | 4203 Belfort Rd, Suite 204, Jacksonville, FL 32216-1471 | 2009-04-17 |
| 1912163288 | Monica Eve Major-harris | Nurse Practitioner | 4203 Belfort Rd, Suite 204, Jacksonville, FL 32216-1409 | 2008-08-05 |
| 1194983718 | Andrea Pierce Moore | Audiologist | 4203 Belfort Rd, Suite 340, Jacksonville, FL 32216-1409 | 2008-05-30 |
| 1659576577 | Integrated Community Oncology Network LLC | Internal Medicine | 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 | 2007-06-20 |
| 1811074495 | Mary Joanne Schuh | Audiologist | 4203 Belfort Rd, Suite 340, Jacksonville, FL 32216-1409 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252601 | Patient Care Labatories, Inc | Clinical Medical Laboratory | 6950 Philips Hwy Ste 36, Jacksonville, FL 32216-6086 | 2020-07-13 |
| 1770137754 | River Town Diagnostics LLC | Clinical Medical Laboratory | 8563 Argyle Business Loop Ste 5, Jacksonville, FL 32244-6613 | 2019-07-29 |
| 1982193330 | Superior Clinical Labs, LLC | Clinical Medical Laboratory | 7685 103rd St Ste 1a, Jacksonville, FL 32210-9326 | 2018-05-01 |
| 1942716378 | Mccall & Erler, LLC | Clinical Medical Laboratory | 3604 University Blvd S Ste 103, Jacksonville, FL 32216-4209 | 2017-12-21 |
| 1952825481 | First Coast Laboratories | Clinical Medical Laboratory | 6900 Southpoint Dr N Ste 100, Jacksonville, FL 32216-8008 | 2017-07-26 |
| 1750839262 | Ace Biomedical Labs, LLC | Clinical Medical Laboratory | 3726 Beach Blvd, Jacksonville, FL 32207-3814 | 2016-09-13 |
| 1700255841 | First Coast Pathology Associates, LLC | Clinical Medical Laboratory | 9421 Waypoint Place, Jacksonville, FL 32257 | 2015-09-18 |
| 1396074720 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 8384 Baymeadows Rd Ste 1b, Jacksonville, FL 32256-7486 | 2009-12-14 |
| 1407016645 | University of Florida Jacksonville Physicians Inc | Clinical Medical Laboratory | 655 W 11th St, Jacksonville, FL 32206-3516 | 2008-06-11 |
| 1174558431 | Florida Department of Health | Clinical Medical Laboratory | 1217 Pearl St, Jacksonville, FL 32202-3926 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on ST VINCENTS MEDICAL CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.