Organization
ST. VINCENT'S MEDICAL CENTER, INC.
Active
Parent organization
ST. VINCENT'S MEDICAL CENTER, INC.
Other names
ASCENSION ST VINCENT'S RIVERSIDE, Consolidated Laboratory Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT'S MEDICAL CENTER, INC.
Authorized official
JON COOPER (PRESIDENT)
(904) 308-8194
Entity
Organization
Contact information
Practice address
4203 BELFORT RD, SUITE 106, JACKSONVILLE, FL 32216-1409
(904) 308-5600
(904) 296-1589
Mailing address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
(904) 308-2947
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D0645096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010073102
—
FL
01
—
L8520
BCBS FACILITY
FL
Enumeration date
10/24/2006
Last updated
03/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us