Advanced Preventive Diagnostics, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED PREVENTIVE DIAGNOSTICS, INC

Practice address

10373 Democracy LN
B
Fairfax, VA 22030-2586

Phone

(347) 264-7949

Fax

(571) 442-8272

NPI assigned

May 19, 2012

Last updated

May 19, 2012By 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

Mr. Salehuddin M Isa

Title

President

Phone

(347) 264-7949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337385600000",
    "number": "1205196656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 DEMOCRACY LN STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302588",
            "telephone_number": "347-264-7949",
            "fax_number": "571-442-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 DEMOCRACY LN",
            "address_2": "B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302586",
            "telephone_number": "347-264-7949",
            "fax_number": "571-442-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PREVENTIVE DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A",
        "authorized_official_last_name": "ISA",
        "authorized_official_first_name": "SALEHUDDIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-264-7949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.