Advanced Artists Oncosure Testing LLC
Organization Active NPI Clinical Medical Laboratory · Pompano Beach, FL
NPI 1821836347 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1821836347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ADVANCED ARTISTS ONCOSURE TESTING LLC
- Practice address
- 1100 Park Central Blvd S Ste 1700
Pompano Beach, FL 33064-2211 - Phone
- (888) 925-4816
- Fax
- (954) 301-0191
- NPI assigned
- Jul 18, 2024
- Organization subpart
- No
Authorized official
- Name
- Kaela Vitulano
- Title
- Manager
- Phone
- (754) 310-5084
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2307130 | Advanced Artists Oncosure Testing LLC | Accreditation | May 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241015003714 | FL | Part B Supplier - Independent Clinical Laboratory | 1759813736 | Practice locations: Pompano Beach, FL |
National Provider Directory
Locations
1550 N Andrews Avenue Ext
Pompano Beach, FL 33069
Phone (754) 310-5084
1100 Park Central Blvd S
Ste 1700
Pompano Beach, FL 33064
Phone (888) 925-4816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
1100 Park Central Blvd S Ste 1700
Pompano Beach, FL 33064-2211
Mailing address
1100 Park Central Blvd S Ste 1700
Pompano Beach, FL 33064-2211
Phone (888) 925-4816
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.