NPIMap

Organization Active NPI

Quantum Labs LLC

  • Clinical Medical Laboratory
  • Boynton Beach, FL
National Provider Identifier
1053657205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
800026636 Issued in FL
Legal business name
QUANTUM LABS LLC
Practice address
2600 Quantum Blvd
Suite B, 2ND Floor
Boynton Beach, FL 33426
Phone
(561) 865-5896
Fax
(561) 865-5896
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olivia Holmes
Title
Cfo
Phone
(561) 865-5896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 800026636 FL Primary
Clinical Medical Laboratory 291U00000X 10D2045959 FL

Addresses

Primary practice location

2600 Quantum Blvd
Suite B, 2ND Floor
Boynton Beach, FL 33426

Mailing address

2600 Quantum Blvd
Suite B, 2ND Floor
Boynton Beach, FL 33426
Phone (561) 865-5896

Other names 1

  • Beachway Therapy Treatment Center LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Beachway Therapy Treatment Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2600 Quantum Blvd
Ste B
Boynton Beach, FL 33426
Phone (561) 865-5896

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053657205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 QUANTUM BLVD",
            "address_2": "SUITE B, 2ND FLOOR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-865-5896",
            "fax_number": "561-865-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 QUANTUM BLVD",
            "address_2": "SUITE B, 2ND FLOOR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-865-5896",
            "fax_number": "561-865-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-865-5896"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800026636",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2045959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachway Therapy Treatment Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.