Active NPI
Advanced Diagnostic Solutions Inc
- Physiological Laboratory
- Odessa, FL
National Provider Identifier
1932498730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- HCC9256
- Legal business name
- ADVANCED DIAGNOSTIC SOLUTIONS INC
- Practice address
- 19902 Gunn Hwy
Odessa, FL 33556-4506 - Phone
- (727) 707-3631
- NPI assigned
- Apr 1, 2011
- Last updated
- Jul 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon M Womack
- Title
- Ceo
- Phone
- (727) 707-3631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | HCC9256 | FL | Primary |
Addresses
Primary practice location
19902 Gunn Hwy
Odessa, FL 33556-4506
Mailing address
19902 Gunn Hwy
Odessa, FL 33556-4506
Phone (727) 707-3631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V006K | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121005000563 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0143490581 | Practice locations: Trinity, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba allurehealth
- Nurse Practitioner
- Odessa, FL
- NPI 1013204577
0143490581
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Diagnostic Solutions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- San Mateo, CA
- NPI 1588915300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Trinity, FL
- NPI 1386205185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1932498730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19902 GUNN HWY",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564506",
"telephone_number": "727-707-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19902 GUNN HWY",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564506",
"telephone_number": "727-707-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DIAGNOSTIC SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-01",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "WOMACK",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-707-3631",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "FL",
"license": "HCC9256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V006K",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, FL
- Alanis Christina Acevedo Figueroa, DC
- Acs Medical Enterprises Inc
- Cheryl Ann Adams
- Addie's Adult Family Care
- Advanced Diagnostic Solutions Inc (allurehealth)
- Adventist Health System/Sunbelt, Inc (AdventHealth Centra Care - Trinity)
- Deborah Ranibai Aikens, ARNP
- Lawrence Alaimo, PHARMD
- All in One DME LLC
- Vina Thakor Amin, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.