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Revalidation record

American Diagnostics Services Llc — revalidation due 2025-10-31

past duemay be stale

NPI 1639140387 · Non-DME Part B · GA · Enrollment ID O20110218000214

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

This NPI has 31 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20110218000214GA855B2025-10-31
O20210114001001ME855B2026-03-31
O20080807000231RI855B2026-10-31
O20101103000071NH855B2026-10-31
O20080806000184MA855B2026-11-30
O20081009000006CT855B2027-01-31
O20090825000029IN855B2027-02-28
O20040108001087PA855BTBD
O20050310000514NJ855BTBD
O20050720000880DE855BTBD
O20070608000257OH855BTBD
O20090123000093MD855BTBD
O20090206000060MI855BTBD
O20090909000222VA855BTBD
O20100119000013KS855BTBD
O20110311000425KY855BTBD
O20110609000778MO855BTBD
O20210708001451VT855BTBD
O20090902000626DC855B2023-08-31
O20170327001981TX855B2024-03-31
O20170317001102CA855B2024-04-30
O20170327001211HI855B2024-04-30
O20170314000932NV855B2024-05-31
O20170411001369IL855B2024-05-31
O20170421001581AZ855B2024-06-30
O20170502001787NC855B2024-06-30
O20170509002784WA855B2024-07-31
O20170519002150FL855B2024-07-31
O20100415000868SC855B2024-08-31
O20100113000556AL855B2025-09-30
O20110215000587TN855B2025-09-30
Revalidation due
2025-10-31
Form to file
855B

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

CMS published a due date of 2025-10-31 (364 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
2026-102025-10-31

Not an official CMS system. Verify before filing.

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