Advanced Diagnostics Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0012217 Issued in NJ

Legal business name

ADVANCED DIAGNOSTICS LABORATORY LLC

Practice address

1030 Kings Hwy N Ste 304
Cherry Hill, NJ 08034-1907

Phone

(856) 320-2143

Fax

(856) 320-2147

NPI assigned

Jul 10, 2018

Last updated

Jan 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela R Baylin

Title

Coo

Phone

(770) 371-7711

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Charles Berinhout, M.D.

  • Interventional Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1720031503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1144716424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY # 133",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "856-320-2143",
            "fax_number": "856-320-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 KINGS HWY N STE 304",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341907",
            "telephone_number": "856-320-2143",
            "fax_number": "856-320-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTICS LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BAYLIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-371-7711"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0012217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003258190A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637037",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advance Therapy Associates
• Advance Therapy Associates
• Advance Therapy Associates, Inc.
• Advanced Diagnostics of New Jersey, Inc. (Upright MRI of Cherry Hill)
• Advanced Diagnostics of New Jersey, Inc. (Upright MRI of Cherry Hill)
• Advanced Hearing Solutions
• Advanced Radiology of Cherry Hill PA
• Advanced Rehabilitation System LLC

• Clinical Medical Laboratory in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.