Advanced Central Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED CENTRAL LABORATORY, LLC

Practice address

14717 Champaign Rd
Allen Park, MI 48101-1693

Phone

(313) 656-1199

NPI assigned

Dec 16, 2015

Organization subpart

No

Name

Samir Itani

Title

Managing Employee

Phone

(313) 656-1199

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

• Ronald A Hyder, CHIROPRACTOR

  • Chiropractor
  • Southgate, MI
  • NPI 1487779906
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2015.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1821453903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14717 CHAMPAIGN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011693",
            "telephone_number": "313-656-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14717 CHAMPAIGN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011693",
            "telephone_number": "313-656-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CENTRAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ITANI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "313-656-1199"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Musa Abuhmaid, MD
• Acadian Clinic PLLC
• Acadian Urgent Care
• Justin Adams, D.O.
• Advanced Breast Surgery PLLC
• Affordable Dentures & Implants - Allen Park II, P.C.
• Laura Luann Agemak, PT
• Wajiha Ajami
• Syed Shah Ali Akbar, MD
• Muhammad Ammar Al-Ado, MD

• All providers in Allen Park, MI
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.