Advance Diagnostics Laboratories Corporation

NPI #1316271919 in Pontiac, Michigan

Provider Information

NPI Number: 1316271919
Entity Type: Organization
Organization Name: Advance Diagnostics Laboratories Corporation
Primary Specialty: Physiological Laboratory
Enumeration Date: Sep 29, 2009
Last Updated: Feb 2, 2026

Practice Location

Address: 3959 CENTERPOINT PKWY
Address 2: SUITE 100
City: Pontiac
State: Michigan
ZIP Code: 48341
Phone: (248) 690-6360

Authorized Official

Name: MOHAMMED ISRAR
Title: CHAIRMAN
Phone: (408) 202-7950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic	246ZE0600X
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Physiological Laboratory	293D00000X	Primary

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