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NPI Code Detail

MEDICARE: ACE BIOMEDICAL LABS, LLC

MEDICARE: ACE BIOMEDICAL LABS, 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
1291U00000XClinical Medical LaboratoryFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750839262
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE BIOMEDICAL LABS, LLC
Provider Business Mailing Address
First Line : 6444 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number : 904-580-8126
Fax Number : 904-717-1049
Provider Business Practice Location Address
First Line : 6444 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number : 904-580-8126
Fax Number : 904-717-1049
Authorized Official
Title or Position : OWNER
Name : MR. MADHUKAR SHARMA
Credential :
Telephone Number : 979-399-4966
Provider Enumeration Date : 09/13/2016
Last Update Date : 09/15/2025

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Directions to “ACE BIOMEDICAL LABS, LLC ” Practice Location

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