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

Excelsior Diagnostics LLC

Organization Clinical Medical Laboratory · NPI 1093494627

Excelsior Diagnostics LLC is a Clinical Medical Laboratory in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (904) 799-6520
Fax: (904) 799-6588
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Physiological Laboratory Taxonomy 293D00000X

Record details

NPI number1093494627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Whitney Whyte — Director · (888) 742-6245
NPI enumeratedJuly 12, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486

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