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Revalidation record

Advanced Imaging Llc — revalidation due 2026-04-30

past duemay be stale

NPI 1558416974 · Non-DME Part B · CA · Enrollment ID O20190912001014

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 16 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20190912001014CA855B2026-04-30
O20200407000954NC855B2026-05-31
O20200407002436IN855B2026-06-30
O20200522001988UT855B2026-08-31
O20210205001973WA855B2026-10-31
O20070723000756NM855BTBD
O20220627002653HI855BTBD
O20221017000812MO855BTBD
O20221206000576NY855BTBD
O20221207000115CT855BTBD
O20230424002402OK855BTBD
O20250123001304TN855BTBD
O20260402002417FL855BTBD
O20160908001280TX855B2024-02-29
O20190831000084CO855B2024-09-30
O20190909002163IL855B2024-10-31
Revalidation due
2026-04-30
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-04-30 (183 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-04-30

Not an official CMS system. Verify before filing.

All CA revalidation dates for October 2026Where this date comes from