Organization
PRINCETON CLINICAL LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIAKKA CHIANTAYE MOON (CEO)
(904) 840-4888
Entity
Organization
Contact information
Practice address
12676 PERCY FOREST LN, JACKSONVILLE, FL 32218-1028
(904) 840-4888
Mailing address
12676 PERCY FOREST LN, JACKSONVILLE, FL 32218-1028
(904) 840-4888
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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