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

State of Florida

Organization Clinical Medical Laboratory · NPI 1093138760

State of Florida is a Clinical Medical Laboratory in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

1217 N Pearl St
Jacksonville, FL 32202-3926
Phone: (904) 791-1559
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence DI003429 (FL)

Record details

NPI number1093138760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Willis — Director · (904) 791-1559
NPI enumeratedJanuary 30, 2014
Last updated in NPPESJanuary 30, 2014
Mailing address1217 N Pearl St, Jacksonville, FL 32202-3926

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