Advanced Medical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

L325PVL Issued in AZ

Legal business name

ADVANCED MEDICAL LABORATORY

Practice address

2435 S Avenue a
Suite 4
Yuma, AZ 85364-7175

Phone

(928) 344-8525

Fax

(928) 726-3434

NPI assigned

Aug 25, 2006

Last updated

Oct 4, 2007By 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

Dr. Noman Waked, PHD

Title

Laboratory Manager

Phone

(928) 344-8525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1760590343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4548",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853664548",
            "telephone_number": "928-344-8525",
            "fax_number": "928-726-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 S AVENUE A",
            "address_2": "SUITE 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647175",
            "telephone_number": "928-344-8525",
            "fax_number": "928-726-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WAKED",
        "authorized_official_first_name": "NOMAN",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "928-344-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "L325PVL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Home Healthcare Services of Yuma,L.L.C
• Advanced Implant and Oral Surgery (Sonoma Oral and Facial Surgery of Yuma)
• Advanced Magnetic Resonance Imaging (Advanced Molecular Imaging LLC MB)
• Advanced Medical Clinic PLLC
• Advanced Medical Clinic, PLLC.
• Advanced Prosthetics and Orthotics Solutions, Inc.
• Advanced Radiology Healthcare LLC
• Advanced Therapy Associates, Inc.
• Advantage Health, Inc
• Adventurous Change: the Hooves & Hearts Connection

• Clinical Medical Laboratory in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.