Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ancient City Diagnostics, LLC

Q: What type of organization is Ancient City Diagnostics, LLC?

Ancient City Diagnostics, LLC is registered in NPPES as a Military Clinical Medical Laboratory (its primary provider taxonomy).

Military Clinical Medical Laboratory in Saint Augustine, FL · enumerated 2020 · authorized official Christopher Edmondson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629604046

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Registry record

Entity type Organization (Type 2)

Legal business name Ancient City Diagnostics, LLC

Practice address 150 Southpark Blvd Ste 206, Saint Augustine, FL, 32086

Phone (904) 439-3414

Enumeration date Mar 17, 2020

Last updated in NPPES Mar 17, 2020

Taxonomy & classification

291900000X Military Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Christopher Edmondson

Title Owner

Phone (904) 439-3414

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Ancient City Diagnostics, LLC?

Ancient City Diagnostics, LLC is registered in NPPES as a Military Clinical Medical Laboratory (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-17.