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1629604046
ANCIENT CITY DIAGNOSTICS, LLC
SAINT AUGUSTINE, FL
NPI
1629604046
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Entity Type
Organization
Authorized Contact
CHRISTOPHER EDMONDSON
Owner
904-439-3414
Organization Subpart ?
No
Primary Taxonomy
291900000X Military Clinical Medical Laboratory
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
ANCIENT CITY DIAGNOSTICS, LLC
150 SOUTHPARK BLVD STE 206
SAINT AUGUSTINE, FL 32086-5179
Phone number: 904-439-3414
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Mailing Address
ANCIENT CITY DIAGNOSTICS, LLC
8563 ARGYLE BUSINESS LOOP STE 5
JACKSONVILLE, FL 32244-6613
Phone number: 904-439-3414
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