Active NPI
Advanced Molecular Diagnostics, LLC
- Clinical Medical Laboratory
- Montvale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 0006626
- Legal business name
- ADVANCED MOLECULAR DIAGNOSTICS, LLC
- Practice address
- 136 Summit Avenue
East Wing
Montvale, NJ 07645-1223 - Phone
- (201) 825-0186
- Fax
- (201) 825-0191
- NPI assigned
- Jan 29, 2013
- Last updated
- Dec 30, 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
- Pablo J Umansky, PHD
- Title
- Ceo
- Phone
- (201) 825-0186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 0006626 | NJ | Primary |
Addresses
Primary practice location
136 Summit Avenue
East Wing
Montvale, NJ 07645-1223
Mailing address
136 Summit Avenue
East Wing
Montvale, NJ 07645-1223
Phone (201) 825-0186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366781 | Medicaid | NY | |
| 366781 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130524000191 | NJ | Part B Supplier - Independent Clinical Laboratory | 6406093699 | Practice locations: Montvale, NJ |
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 |
|---|---|---|---|
| 31D2053667 | Advanced Molecular Diagnostics, LLC | Accreditation | Jul 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
136 Summit Ave
Montvale, NJ 07645
Phone (201) 825-0186
136 Summit Ave
Fl First
Montvale, NJ 07645
19 Spear Rd
Ste 312
Ramsey, NJ 07446
Phone (866) 436-3263
535 E Crescent Ave
Ste 1
Ramsey, NJ 07446
535 E Crescent Ave
Ste 100
Ramsey, NJ 07446
4060 Innslake Dr
Glen Allen, VA 23060
Phone (800) 858-5909
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Laboratory Director (Non-physician)
- Montvale, NJ
- NPI 1568047629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1790023547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SUMMIT AVENUE",
"address_2": "EAST WING",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451223",
"telephone_number": "201-825-0186",
"fax_number": "201-825-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SUMMIT AVENUE",
"address_2": "EAST WING",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451223",
"telephone_number": "201-825-0186",
"fax_number": "201-825-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MOLECULAR DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "UMANSKY",
"authorized_official_first_name": "PABLO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "201-825-0186",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NJ",
"license": "0006626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0366781",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "366781",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.