St Johns Biomedical Laboratories Inc

LBN: St Johns Biomedical Laboratories Inc
St Johns Biomedical Laboratories Inc is an health care organization with primary practice located at 165 Southpark Blvd Suite A, St Augustine FL 32086-4101. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. St Johns Biomedical Laboratories Inc can be contacted via phone (904) 824-5497, or through Sia, Edwin Oliva via phone (904) 824-5497.

Contact Information

Primary practice address
165 Southpark Blvd Suite A St Augustine FL 32086-4101
Phone: (904) 824-5497
Fax: (904) 824-8257
Website:
Map and Directions
Authorized official contact:
Name: Sia, Edwin Oliva MD, BCLD(ABB)
Phone: (904) 824-5497

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 800001722 Florida

Profile Details

NPI number 1821001330
LBN Legal business name St Johns Biomedical Laboratories Inc
DBA Doing business as
Authorized official Sia, Edwin Oliva MD, BCLD(ABB)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821001330 NPPES
Florida Other 10D0645082 CLIA
Florida Other 800001722 CLIA
Florida MEDICAID 030142600 CLIA

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