MEDICARE: DNAGO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1255279436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DNAGO LLC

Provider Business Mailing Address
First Line	:	7643 GATE PKWY STE 104-700
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3092
Country	:	US
Telephone Number	:	904-758-7111
Fax Number	:	904-978-1350

Provider Business Practice Location Address
First Line	:	7643 GATE PKWY STE 104-700
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3092
Country	:	US
Telephone Number	:	904-758-7111
Fax Number	:	904-978-1350

Authorized Official
Title or Position	:	CEO
Name	:	SHAWNITA TOOLEY
Credential	:	CERTIFIED COLLECTOR
Telephone Number	:	463-274-7444

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “DNAGO LLC ” Practice Location

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