Organization Active NPI

Advantis Laboratories LLC

  • Clinical Medical Laboratory
  • Kernersville, NC
National Provider Identifier
1982142345
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANTIS LABORATORIES LLC
Practice address
256 Gretas Way Ste 105
Kernersville, NC 27284-3889
Phone
(843) 429-1530
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Imad Osko
Title
President
Phone
(843) 429-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

256 Gretas Way Ste 105
Kernersville, NC 27284-3889

Mailing address

PO Box 3664
Seattle, WA 98124-3664
Phone (843) 429-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170607000022 SC Part B Supplier - Independent Clinical Laboratory 3072880442 Practice locations: Longs, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2335811Advantis Laboratories LLC256 Gretas Way Suite 105, Kernersville, NC 27284RegistrationDec 17, 2027

National Provider Directory

National Provider Directory

Locations

256 Gretas Way
Ste 105
Kernersville, NC 27284
Phone (843) 429-1530

1650 Highway 9 E
Unit 1
Longs, SC 29568
Phone (512) 213-8079

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1982142345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3664",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243664",
            "telephone_number": "843-429-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 GRETAS WAY STE 105",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843889",
            "telephone_number": "843-429-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTIS LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "OSKO",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-429-1530"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.