MEDICARE: ROZAYE'S LAB ON THE GO

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	:	1508722687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROZAYE'S LAB ON THE GO

Provider Business Mailing Address
First Line	:	PO BOX 7553
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32238-0553
Country	:	US
Telephone Number	:	904-598-9431
Fax Number	:

Provider Business Practice Location Address
First Line	:	1548 W 17TH ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-4806
Country	:	US
Telephone Number	:	904-598-9431
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ROSALYN GILBERT
Credential	:
Telephone Number	:	904-598-9431

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/01/2026

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Directions to “ROZAYE'S LAB ON THE GO ” Practice Location

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