Unilab Corporation
Organization Active NPI Clinical Medical Laboratory · Riverside, CA
NPI 1013061464 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1013061464
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 05D0702479 (CA)
- Legal business name
- UNILAB CORPORATION
- Practice address
- 6985 Arlington Ave Ste a
Riverside, CA 92503-1516 - Phone
- (951) 556-2585
- NPI assigned
- Jan 23, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- QUEST DIAGNOSTICS INCORPORATED
Authorized official
- Name
- Charles Albert Bowles
- Title
- Vice President
- Phone
- (610) 454-4122
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0702479 | Unilab Corporation | Accreditation | Aug 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000318 | CA | Part B Supplier - Independent Clinical Laboratory | 7618874512 |
25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; San Jose, CA; Riverside, CA; Redding, CA; Highland, CA; Fresno, CA; Berkeley, CA |
National Provider Directory
- Tax ID family
- Quest Diagnostic
- Part of
- Questdiagnost Ic Inc
Locations
6985 Arlington Ave
Ste C
Riverside, CA 92503
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D0702479 | CA | Yes |
Addresses
Primary practice location
6985 Arlington Ave Ste a
Riverside, CA 92503-1516
Mailing address
1201 S Collegeville Rd
Collegeville, PA 19426-2998
Phone (866) 697-8378
Other names
- Quest Diagnostics
Other providers in Riverside, CA
- Sreyphorn Chhoun Ung
- Susan Ung
- Unicare Community Health Center Inc
- Unicare Community Health Center Inc
- Unicare Community Health Center, Inc.
- Unilab Corporation
- Unilab Corporation
- Unique Light Marriage and Family Therapy Inc
- United Connections Foster Family Agency, Inc.
- United Sports and Spine Center
All providers in Riverside, CA · Clinical Medical Laboratory in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.