Advanced Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED CLINICAL LABORATORY INC

Practice address

1 Tiffany PT Ste G15
Bloomingdale, IL 60108-2962

Phone

(630) 888-2343

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Samira SyedNPI 1588312441

Title

Manager

Phone

(630) 888-2343

Specialties & licenses 1

Addresses

Practitioners 2

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

• Samira Syed

  • Clinical Medical Laboratory
  • Schaumburg, IL
  • NPI 1588312441
  NPD Authorized official
• Aqeel A Khan, M.D.

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1629046735
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1366183857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE G15",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE G15",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082962",
            "telephone_number": "630-888-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-888-2343"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Adamowski
• Omolola Adeyemi
• Advance Clinical Lab Inc
• Advance Medical LLC
• Advance Psychiatry & Counseling, SC.
• Advanced Pediatric and Neonatal Medicine, SC
• Advanced Pediatric and Neonatal Medicine, SC
• Adventist Glenoaks Hospital (UChicago Medicine AdventHealth Allergy & Asthma at Bloomingdale)
• Adventist Health Partners, Inc (Glenoaks Women's Healthcare)
• Adventist Health Partners, Inc (DuPage Orthopedics)

• Clinical Medical Laboratory in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.