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Advance Diagnostics Laboratories Corporation

NPI 1316271919ActiveOrganization· Physiological Laboratory· Pontiac, MI

Physiological Laboratory in Pontiac, Michigan, registered in NPPES in September 2009. The authorized official on file is Mohammed Israr, Chairman. Medicare paid $190,880 for services to 1,438 patients in 2024.

Overview

NPI1316271919
StatusActive
Entity typeOrganization
NPI issuedSep 29, 2009
Last updated in NPPESFeb 2, 2026
Certified by providerFeb 2, 2026

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (MI); Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients1,438
Services billed2,104 across 28 procedure codes
Paid by Medicare$190,880

Medicare sources and data years