Organization
EXCELSIOR DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY WHYTE (DIRECTOR)
(888) 742-6245
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 799-6520
(904) 799-6588
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(888) 742-6245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
07/12/2023
Last updated
09/05/2025
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