Active NPI
Advanced Biomedical, Inc.
Doing business as Pathology Laboratory Services
- Clinical Medical Laboratory
- Santa Ana, CA
National Provider Identifier
1518039486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ADVANCED BIOMEDICAL, INC.
- Doing business as
- Pathology Laboratory Services
- Practice address
- 3089 S Harbor Blvd
Santa Ana, CA 92704-6448 - Phone
- (714) 900-2900
- Fax
- (657) 900-4810
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Sorrentino
- Title
- Cfo
- Phone
- (714) 900-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
3089 S Harbor Blvd
Santa Ana, CA 92704-6448
Mailing address
3089 S Harbor Blvd
Santa Ana, CA 92704-6448
Phone (714) 900-2900
Other practice location 1
8727 Northwest Dr
Southaven, MS 38671-2429
Phone (714) 900-2900
Other names 1
- Pathology Laboratory Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MS, TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091201000558 | CA | Part B Supplier - Independent Clinical Laboratory | 5597804708 | Practice locations: Santa Ana, CA |
| O20220708001740 | MS | Part B Supplier - Independent Clinical Laboratory | 5597804708 | Practice locations: Southaven, MS |
| O20230802004108 | TX | Part B Supplier - Independent Clinical Laboratory | 5597804708 | Practice locations: Richardson, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0580198 | Advanced Biomedical, Inc | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
3089 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 884-4599
1551 SW 37th Ave
Ocala, FL 34474
Phone (352) 512-9770
2200 E Parrish Ave
Bldg H
Owensboro, KY 42303
1202 E Arapaho Rd
Ste 100
Richardson, TX 75081
Phone (844) 522-3729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755820800000",
"number": "1518039486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3089 S HARBOR BLVD",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046448",
"telephone_number": "714-900-2900",
"fax_number": "657-900-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3089 S HARBOR BLVD",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046448",
"telephone_number": "714-900-2900",
"fax_number": "657-900-4810"
}
],
"practiceLocations": [
{
"address_1": "8727 Northwest Dr",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386712429",
"country_code": "US",
"telephone_number": "714-900-2900",
"fax_number": "657-900-4810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED BIOMEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-08-22",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "SORRENTINO",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "714-900-2900"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathology Laboratory Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pathology Laboratory Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.