NPIMap

Organization Active NPI

Advanced Diagnostic LLC

  • Other Technician
  • Miami, FL
National Provider Identifier
1093191900
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
5228 Issued in NY
Legal business name
ADVANCED DIAGNOSTIC LLC
Practice address
13876 SW 56TH St
Suite 257
Miami, FL 33175-6021
Phone
(305) 831-3193
Fax
(305) 602-9828
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Anthony Zollicoffer
Title
Associate Partner
Phone
(305) 831-3193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X 5228 NY Primary

Addresses

Primary practice location

13876 SW 56TH St
Suite 257
Miami, FL 33175-6021

Mailing address

13876 SW 56TH St
Suite 257
Miami, FL 33175-6021
Phone (305) 831-3193

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1093191900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 SW 56TH ST",
            "address_2": "SUITE 257",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756021",
            "telephone_number": "305-831-3193",
            "fax_number": "305-602-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 SW 56TH ST",
            "address_2": "SUITE 257",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756021",
            "telephone_number": "305-831-3193",
            "fax_number": "305-602-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "ZOLLICOFFER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE PARTNER",
        "authorized_official_telephone_number": "305-831-3193"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "NY",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.