Organization Active NPI

Advanced Pathology Laboratory LLC

  • Clinical Medical Laboratory
  • Northfield, NJ
National Provider Identifier
1275588576
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00003933 Issued in NJ
Legal business name
ADVANCED PATHOLOGY LABORATORY LLC
Practice address
334 W Oakcrest Ave
Northfield, NJ 08225-1716
Phone
(609) 646-7000
Fax
(609) 646-7140
NPI assigned
May 24, 2006
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Ali Daneshvar, M.D.NPI 1962457366
Title
Director
Phone
(609) 646-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00003933 NJ Primary

Addresses

Primary practice location

334 W Oakcrest Ave
Northfield, NJ 08225-1716

Mailing address

334 W Oakcrest Ave
Northfield, NJ 08225-1716
Phone (609) 646-7000

National Provider Directory

National Provider Directory

Locations

1015 New Rd
Northfield, NJ 08225
Phone (609) 646-7000

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1275588576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 W OAKCREST AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251716",
            "telephone_number": "609-646-7000",
            "fax_number": "609-646-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W OAKCREST AVE",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251716",
            "telephone_number": "609-646-7000",
            "fax_number": "609-646-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PATHOLOGY LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-646-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "00003933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.