Mayport Molecular LLC · Clinical Medical Laboratory

2550 Mayport Rd Ste 3, Jacksonville, FL 32233-2872

Overview

Mayport Molecular LLC is a Clinical Medical Laboratory (organization) practicing in Jacksonville, Florida. The National Provider Identifier (NPI) is #1881583920, which was assigned on July 2, 2025, and the registration record was last updated on July 2, 2025. The practitioner's main practice location is at 2550 Mayport Rd Ste 3, Jacksonville, FL 32233-2872; the contact telephone number is 9045866973. The primary taxonomy of Mayport Molecular LLC is Clinical Medical Laboratory (291U00000X). The authorized official for Mayport Molecular LLC is Dawson Smith (Owner).

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Provider Information

NPI 1881583920
Entity Type Organization
Organization Name MAYPORT MOLECULAR LLC
Provider Name MAYPORT MOLECULAR LLC
Practice Address 2550 Mayport Rd Ste 3
Jacksonville
FL 32233-2872
Practice Telephone 9045866973
Mailing Address 2550 Mayport Rd Ste 3
Jacksonville
FL 32233-2872
Certification Date 2025-07-02
Enumeration Date 2025-07-02
Last Update Date 2025-07-02
Is Organization Subpart N

Authorized Official Information

Official Name DAWSON SMITH
Official Title OWNER
Telephone 9045866973

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y291U00000XClinical Medical Laboratory

Taxonomy Information

Primary Taxonomy

Code 291U00000X
Taxonomy Clinical Medical Laboratory
Classification Clinical Medical Laboratory
Grouping Laboratories
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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Location Information

Street Address 2550 MAYPORT RD STE 3
City JACKSONVILLE
State FL
Zip Code 32233-2872
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Vtr Anthem Lakes, LLC 905 Assisi Ln, Jacksonville, FL 32233-2972Assisted Living Facility2025-06-12
Jaylynn Harrison 997 Atlantic Blvd, Atlantic Beach, FL 32233-3311Behavior Technician2025-07-07
Vop Anthem Lakes, LLC 905 Assisi Ln, Jacksonville, FL 32233-2972Assisted Living Facility2025-06-18
Stacey Myers 2305 Fairway Villas Dr, Jacksonville, FL 32233-0013Mental Health Counselor2025-03-03
Rachel Kathleen Knapp 2619 Montreal St, Jacksonville, FL 32233-2811Psychiatric/Mental Health Nurse Practitioner2025-09-18
Edward Jason Crum 4200 Ocean St, Jacksonville, FL 32233-2416Basic Emergency Medical Technician2007-02-08
Matthew Jordan Crenshaw 997 Atlantic Blvd, Atlantic Beach, FL 32233-3311Behavior Technician2025-08-14
Marie Ann Nelson 2529 Haywood Estates Ln, Jacksonville, FL 32233-2876Day Training/Habilitation Specialist2025-03-13
Kayla Nation 997 Atlantic Blvd, Atlantic Beach, FL 32233-3311Behavior Technician2025-07-30
Tealie Michelle Tackett 997 Atlantic Blvd, Atlantic Beach, FL 32233-3311Behavior Technician2025-08-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.