Organization Active NPI

Advance Labs LLC

  • Technician
  • Quincy, FL
National Provider Identifier
1073393963
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Legal business name
ADVANCE LABS LLC
Practice address
305 W Crawford St
Quincy, FL 32351-3121
Phone
(954) 651-3919
NPI assigned
Sep 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tina M Wright, PHLEBOTOMY
Title
Owner
Phone
(954) 651-3919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 374700000X Primary

Addresses

Primary practice location

305 W Crawford St
Quincy, FL 32351-3121

Mailing address

3275 Emerson LN
Tallahassee, FL 32317-9044
Phone (954) 651-3919

National Provider Directory

National Provider Directory

Locations

1509 W Jefferson St
Quincy, FL 32351

305 W Crawford St
Quincy, FL 32351
Phone (954) 651-3919

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1073393963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 EMERSON LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179044",
            "telephone_number": "954-651-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W CRAWFORD ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323513121",
            "telephone_number": "954-651-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-651-3919",
        "authorized_official_credential": "PHLEBOTOMY"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.