ADVANCE LABS LLC — NPI 1073393963 (Licensed & Credentialed Technician in QUINCY, FL)

CMS-1500 Box 24J / 33a • NPI

1073393963

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

374700000X

Licensed & Credentialed Technician

Box 32 Service Location & ZIP+4

305 W CRAWFORD ST, QUINCY, FL, 32351-3121

✓ 9-Digit EDI 837 ZIP+4 (32351-3121)

Practice Phone & Referral Fax

(954) 651-3919

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073393963 (ADVANCE LABS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073393963` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCE LABS LLC
Plain-English Specialty	Licensed & Credentialed Technician NUCC Code: `374700000X` (Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	305 W CRAWFORD ST, QUINCY, FL, 32351-3121
Practice Telephone / Fax	Tel: (954) 651-3919
Administrative Mailing Address	3275 EMERSON LN, TALLAHASSEE, FL, 32317-9044
Enumeration & Last Sync	Enumerated: 2023-09-29 \| CMS Record Updated: 2024-10-18
Authorized Official	TINA WRIGHT (OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

305 W CRAWFORD ST, QUINCY, FL, 32351-3121

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Plain-English Taxonomy & CMS Crosswalk (374700000X)

What Does Taxonomy Code 374700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374700000X translates to:
"Licensed & Credentialed Technician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCE LABS LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`374700000X` — Technician Plain English: Licensed & Credentialed Technician	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCE LABS LLC (NPI #1073393963)