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Organization
ADVANCE DIAGNOSTICS LABORATORIES CORPORATION
Active
Organization
ADVANCE DIAGNOSTICS LABORATORIES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ISRAR (CHAIRMAN)
(408) 202-7950
Entity
Organization
Contact information
Practice address
3959 CENTERPOINT PKWY, SUITE 100, PONTIAC, MI 48341
(248) 690-6360
(844) 437-6590
Mailing address
387 SHUMAN BLVD STE 210E, NAPERVILLE, IL 60563-8146
(248) 690-6360
(844) 437-6590
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
261Q00000X
Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
09/29/2009
Last updated
02/02/2026
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