MEDICARE: ADVANCE DIAGNOSTIC LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1457295883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE DIAGNOSTIC LABS LLC

Provider Business Mailing Address
First Line	:	1553 RUTH RD STE 2
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4075
Country	:	US
Telephone Number	:	267-987-5510
Fax Number	:

Provider Business Practice Location Address
First Line	:	1553 RUTH RD STE 2
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4075
Country	:	US
Telephone Number	:	267-987-5510
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAVED SAEED
Credential	:
Telephone Number	:	267-987-5510

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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