Aptive Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APTIVE DIAGNOSTICS LLC

Practice address

5442 Frontage Rd Ste 130
Forest Park, GA 30297-2526

Phone

(346) 466-8700

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Pollak

Title

President

Phone

(346) 466-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Aptive Diagnostics LLC

  • Clinical Medical Laboratory
  • Hollywood, FL
  • NPI 1730835786

  8729465430

  Same PAC ID
• Aptive Diagnostics LLC

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1932867355

  8729465430

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Aptive Diagnostics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Aptive Diagnostics LLC

  • Clinical Medical Laboratory
  • Hollywood, FL
  • NPI 1730835786
  NPD tax ID
• Aptive Diagnostics LLC

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1932867355
  NPD tax ID

Locations

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1306521489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 FRONTAGE RD STE 130",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972526",
            "telephone_number": "346-466-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APTIVE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-466-8700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Foot & Leg Specialists, P.C. (Ambulatory Laser & Surgery Center)
• American Foot & Leg Specialists, P.C.
• Faith Adonis Andrews, MD
• Angels Recovery and Spirituality
• Apria Healthcare LLC
• Mohammad Arshad, M.D.
• Ash Morrow Medical Center Inc
• At Your Service Medical Transport LLC
• Atlanta Community Chiropractic LLC (Atlanta Community Chiropractic)
• Atlanta Internal Medicine Group, Inc.

• Clinical Medical Laboratory in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.