Advance Diagnostics Laboratories Corporation

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ADVANCE DIAGNOSTICS LABORATORIES CORPORATION

Practice address

3959 Centerpoint Pkwy
Suite 100
Pontiac, MI 48341

Phone

(248) 690-6360

Fax

(844) 437-6590

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mohammed Israr

Title

Chairman

Phone

(408) 202-7950

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Joseph Wood, DO

  • Diagnostic Radiology Physician
  • Rochester, MI
  • NPI 1245645167
  NPD
• Ambreen Mohamed, M.D.

  • Cardiovascular Disease Physician
  • Independence, MO
  • NPI 1437443637
  NPD

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1316271919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 SHUMAN BLVD STE 210E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638146",
            "telephone_number": "248-690-6360",
            "fax_number": "844-437-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 CENTERPOINT PKWY",
            "address_2": "SUITE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-690-6360",
            "fax_number": "844-437-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DIAGNOSTICS LABORATORIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "ISRAR",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "408-202-7950"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Acosta, PHD
• Asena Rae Acton
• Nivedita P Adabala, M.D.
• Nicole Adam
• Matthew Paul Adams
• Advanced Healthcare Hospital LLC
• Advicare Pharmacy, Inc.
• Mohmmad Ahmad Ahmad, MD
• Hafsa Ahmed, MD
• Imran Ahmed, DO

• Physiological Laboratory in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Physiological Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.