Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ancient City Diagnostics, LLC

Organization Military Clinical Medical Laboratory · NPI 1629604046

Ancient City Diagnostics, LLC is a Military Clinical Medical Laboratory in Saint Augustine, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

150 Southpark Blvd Ste 206
Saint Augustine, FL 32086-5179
Phone: (904) 439-3414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Clinical Medical Laboratory (primary) Taxonomy 291900000X

Record details

NPI number1629604046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Edmondson — Owner · (904) 439-3414
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020
Mailing address8563 Argyle Business Loop Ste 5, Jacksonville, FL 32244-6613