APTIVE DIAGNOSTICS LLC
NPI 1306521489
Clinical Medical Laboratory in Forest Park, GA

Active since June 16, 2023CLIA Certified · 3 labs
5442 FRONTAGE RD STE 130, FOREST PARK, GA 30297(346) 466-8700 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aptive Diagnostics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APTIVE DIAGNOSTICS LLC (NPI 1306521489) is a healthcare organization registered as a clinical medical laboratory in Forest Park, Georgia and active in the NPI registry since June 2023. The organization holds 3 active CLIA laboratory certificates and lists Jacob Pollak, President, as its authorized official.

NPPES Registry Identity

NPI1306521489
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameAPTIVE DIAGNOSTICS LLC
Location Address5442 FRONTAGE RD STE 130Forest Park, GA 30297-2526
Mailing Address3920 N 29th AveHollywood, FL 33020-1010
Organization SubpartNo
Authorized OfficialJacob PollakPresident · (346) 466-8700
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
NPI 1306521489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

5442 FRONTAGE RD STE 130, Forest Park, GA 30297

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2284281

Aptive Diagnostics LLC · Forest Park, GA
Active · expires Jun 20, 2027
CLIA Number11D2284281
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorLe Anthony A. Hardy
Laboratory Phone(346) 466-8700
Laboratory LocationAptive Diagnostics LLC5442 Frontage Road, Suite 130, Forest Park, GA 30297
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D2257264

Aptive Diagnostics LLC · Hollywood, FL
Active · expires Apr 24, 2027
CLIA Number10D2257264
Laboratory TypeIndependent
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorDr. Etan A. Marks
Laboratory Phone(754) 258-2888
Laboratory LocationAptive Diagnostics LLC3920 N 29th Ave, Hollywood, FL 33020
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D2258502

Aptive Diagnostics LLC · Houston, TX
Active · expires Nov 15, 2027
CLIA Number45D2258502
Laboratory TypeIndependent
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDr. Evan L. Himchak
Laboratory Phone(346) 466-8700
Laboratory LocationAptive Diagnostics LLC11811 N Freeway, Ste 416, Houston, TX 77060
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
5442 FRONTAGE RD STE 130
FOREST PARK, GA 30297

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aptive Diagnostics LLC's NPI number?

The NPI number for Aptive Diagnostics LLC is 1306521489. It was assigned to this organization in the NPPES registry on June 16, 2023.

Where is Aptive Diagnostics LLC located?

Aptive Diagnostics LLC is located at 5442 Frontage Rd Ste 130, Forest Park, GA 30297. The listed phone number is (346) 466-8700.

What is Aptive Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Aptive Diagnostics LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Aptive Diagnostics LLC was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.