Organization
I AM LEGENDARY LLC
Active
Other names
LEGENDARY DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA NICOLE SPENCER (OWNER)
(904) 898-8365
Entity
Organization
Contact information
Practice address
3109 BOULEVARD, JACKSONVILLE, FL 32206-1931
(904) 898-8365
Mailing address
3109 BOULEVARD, JACKSONVILLE, FL 32206-1931
(904) 898-8365
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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