ADVANCED DIAGNOSTICS LABORATORY, PLLC (NPI# 1093971251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093971251 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIAGNOSTICS LABORATORY, PLLC |
| Practice Address |
25241 Grand River Ave Redford MI 48240-1404 |
| Practice Telephone | 3134869008 |
| Mailing Telephone | 3134869008 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | DR. NEAL S GOLDSTEIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3134869008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
25241 GRAND RIVER AVE |
| City | REDFORD |
| State | MI |
| Zip Code | 48240-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548244742 | Richard I Kushner | Family Medicine | 25241 Grand River Ave, Redford, MI 48240-1404 | 2005-12-01 |
| 1811540230 | Local Pharmacy, Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240 | 2019-07-24 |
| 1386182533 | Family Drug Pharmacy V Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240-1404 | 2017-02-08 |
| 1285707281 | Oakland Medical Group PC | Family Medicine | 25241 Grand River Ave, Redford, MI 48240-1404 | 2006-11-16 |
| 1326135518 | Family Drug Pharmacy V Inc | Pharmacy | 25241 Grand River Ave, Redford, MI 48240-1404 | 2006-10-07 |
| 1942263843 | Irvin J. Gastman | Family Medicine | 25241 Grand River Ave, Redford, MI 48240-1404 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775240 | Peak Function Physical Therapy and Sports Performance | Physical Therapist | 16285 Pomona Drive, Redford, MI 48240 | 2019-08-14 |
| 1861050361 | Hala's Pharmacy | Pharmacy | 25735 Eight Mile Rd, Redford, MI 48240 | 2019-05-31 |
| 1215382312 | Infinity & Beyond L. C. | In Home Supportive Care | 19182 Wakenden, Redford, MI 48240 | 2016-04-27 |
| 1578828224 | Bryan Robert Anderson | Internal Medicine | 18503 Gaylord Rd., Redford, MI 48240 | 2012-07-09 |
| 1558633818 | Lidija Filipovska-smith | Dentist | 25106 West Six Mile Rd., Redford, MI 48240 | 2012-02-02 |
| 1790080968 | Love Covers All | Point of Service | 20449 Dalby, Redford, MI 48240 | 2011-01-20 |
| 1104049261 | Linda M. Thornton | Counselor | 26520 Grand River Ave. Suite 107, Redford, MI 48240 | 2007-04-10 |
| 1689739690 | Sunrise Family Dental Care | Dentist | 25900 West Six Mile, Redford, MI 48240 | 2006-12-27 |
| 1619044237 | Dental Inc | Dentist | 25225 W 7 Mile Rd, Suite 200, Redford, MI 48240 | 2006-11-29 |
| 1184138299 | Master Pharmacy LLC | Pharmacy | 25735 W 8 Mile Rd, Redford, MI 48240-1008 | 2017-11-28 |
| Find all providers in zip 48240 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.