Active NPI
Quest Diagnostics Clinical Laboratories Inc
- Clinical Medical Laboratory
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
- Practice address
- 340 Eisenhower Dr Ste 1200
Savannah, GA 31406-2675 - Phone
- (912) 443-4200
- NPI assigned
- Jul 1, 2020
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Albert Bowles
- Title
- Vice President
- Phone
- (610) 454-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
340 Eisenhower Dr Ste 1200
Savannah, GA 31406-2675
Mailing address
1201 S Collegeville Rd
Collegeville, PA 19426-2998
Phone (800) 222-0446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070328000115 | GA | Part B Supplier - Independent Clinical Laboratory | 3173420585 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Valdosta, GA; Savannah, GA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1578121315
O20070328000115
-
- Clinical Medical Laboratory
- Tucker, GA
- NPI 1841339918
O20070328000115
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2187196 | Meridian Clinical Research, LLC | Certificate of waiver | Jun 25, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Quest Diags Clin Labs Inc
- Part of
- Questdiagnost Ic Inc
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1578121315
-
- Clinical Medical Laboratory
- Atlanta, GA
- NPI 1679772008
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Medical Laboratory
- Atlanta, GA
- NPI 1679772008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1023635455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S COLLEGEVILLE RD",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262998",
"telephone_number": "800-222-0446",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 EISENHOWER DR STE 1200",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062675",
"telephone_number": "912-443-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "BOWLES",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "610-454-6000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.