Advanced Genetics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED GENETICS

Practice address

3650 NW 82ND Avenue
Suite 307
Miami, FL 33166-6694

Phone

(305) 902-6990

Fax

(626) 507-3136

NPI assigned

Nov 27, 2020

Organization subpart

No

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

Authorized official

Name

David Ku, MDNPI 1508800756

Title

Medical Director

Phone

(305) 902-6990

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ku, M.D.

  • Pediatric Adolescent Medicine Physician
  • Monrovia, CA
  • NPI 1508800756
  NPD Authorized official

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1407450760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVENUE",
            "address_2": "SUITE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666694",
            "telephone_number": "305-902-6990",
            "fax_number": "626-507-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVENUE",
            "address_2": "SUITE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666694",
            "telephone_number": "305-902-6990",
            "fax_number": "626-507-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GENETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-902-6990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10F2200505",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Dental Care of Sarasota East PLLC
• Advanced Diagnostic LLC
• Advanced Diagnostics Laboratory LLC
• Advanced Family & Mentalhealth Group, LLC
• Advanced Footcare Inc
• Advanced Healing Counseling of Florida
• Advanced Healing Rehabilitation Center
• Advanced Health Imaging, LLC
• Advanced Health Medical Center Inc
• Advanced Health Medical Center LLC

• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.