Quest Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

30D1023469 Issued in NH

Legal business name

QUEST DIAGNOSTICS LLC

Practice address

14 Tsienneto Road
Suite 201
Derry, NH 03038-1584

Phone

(603) 473-3870

Fax

(603) 473-6307

NPI assigned

Jul 18, 2006

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

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) 454-4122

Specialties & licenses 1

Addresses

Part of

Corning Lab Servicesinc

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.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Manchester, NH
  • NPI 1538189725
  NPPES parent name

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1073531638",
    "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": "866-697-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TSIENNETO ROAD",
            "address_2": "SUITE 201",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-473-3870",
            "fax_number": "603-473-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "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": "610-454-4122"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NH",
            "license": "30D1023469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pleasant Valley SNF LLC (Pleasant Valley Nursing and Rehab Center)
• Debra Poggi, RN, HEALTH EDUCATOR
• Sarah Pongratz
• Tina Renae Porzukowiak, OD
• Quarry State Inpatient Services, LLC
• Victor Joseph Quijano Jr., DPM, PHD
• Vipra Arun Rai, RD, LD, CDE
• Landrie Elizabeth Ramon
• Olga Raptis, D.M.D.
• Cocav Anna Rauwerdink, MD

• Clinical Medical Laboratory in Derry, NH
• Providers in Derry, NH by specialty
• Clinical Medical Laboratory in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.