Aptive Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APTIVE DIAGNOSTICS LLC

Practice address

3920 N 29TH Ave
Hollywood, FL 33020-1010

Phone

(346) 466-8700

Fax

(346) 466-8701

NPI assigned

Feb 28, 2022

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 FL

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
  • Forest Park, GA
  • NPI 1306521489

  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
  • Forest Park, GA
  • NPI 1306521489
  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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1730835786",
    "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": "3920 N 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201010",
            "telephone_number": "346-466-8700",
            "fax_number": "346-466-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APTIVE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Arango, OTR/L
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• Lilian E Araujo
• Tatiana Araujo, M.D.

• Clinical Medical Laboratory in Hollywood, FL
• Providers in Hollywood, 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 Jul 10, 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.