OrganizationActive
Advanced Central Laboratory, LLC
NPI 1821453903 · Clinical Medical Laboratory · Allen Park, MI
Provider details
- NPI number
- 1821453903
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Samir Itani, Managing Employee
Mailing address
14717 Champaign Rd
Allen Park, MI 48101-1693
Registry dates
- Enumerated
- 2015-12-16
- Last updated
- 2015-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.