Capital Advantage Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAPITAL ADVANTAGE DIAGNOSTICS

Practice address

1860 Okeechobee Rd Ste 510
West Palm Beach, FL 33409-5242

Phone

(561) 619-6351

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Kimberly A Pugliese

Title

Ceo

Phone

(561) 201-8850

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952823304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 OKEECHOBEE RD STE 510",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095242",
            "telephone_number": "561-619-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 OKEECHOBEE RD STE 510",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095242",
            "telephone_number": "561-619-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ADVANTAGE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PUGLIESE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-201-8850"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLA",
            "identifier": "27580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2130090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuri Canon
• Alysa Cantave, PTA
• Shelsea Cantave
• Tiffany Canty, C.N.A/HHA/MA
• Ziyi Cao
• Capitol Ms Inc
• Ariel Lindsey Caplan, D.O.
• Zaneshia Denia Caple, MS, MCAP
• Arelys Capote
• Maria Capote

• Clinical Medical Laboratory in West Palm Beach, FL
• Providers in West Palm Beach, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.