Active NPI
Quality Clinical Lab LLC
Doing business as Express Laboratory Services, LLC
- Clinical Laboratory Director (Non-physician)
- Port Richey, FL
National Provider Identifier
1083117535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- Legal business name
- QUALITY CLINICAL LAB LLC
- Doing business as
- Express Laboratory Services, LLC
- Practice address
- 10816 US Highway 19
Port Richey, FL 34668-2564 - Phone
- (813) 334-9234
- Fax
- (813) 334-9234
- NPI assigned
- Mar 12, 2018
- Organization subpart
- Yes
- Parent organization
- EXPRESS LABORATORY SERVICES , INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerien Martija
- Title
- Owner
- Phone
- (813) 334-9234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | Primary |
Addresses
Primary practice location
10816 US Highway 19
Port Richey, FL 34668-2564
Mailing address
10816 US Highway 19
Port Richey, FL 34668-2564
Phone (813) 334-9234
Other names 1
- EXPRESS LABORATORY SERVICES, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200828002150 | FL | Part B Supplier - Independent Clinical Laboratory | 0143647644 | Practice locations: Port Richey, FL |
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 |
|---|---|---|---|
| 10D2146924 | Quality Clinical Lab LLC | Accreditation | Jan 15, 2027 |
National Provider Directory
National Provider Directory- Part of
- Express Laboratory Services
Locations
2204 US Highway 19
Holiday, FL 34691
Phone (561) 563-4245
10816 US Highway 19
Port Richey, FL 34668
Phone (727) 935-2588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1083117535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346682564",
"telephone_number": "813-334-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10816 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346682564",
"telephone_number": "813-334-9234",
"fax_number": "813-334-9234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CLINICAL LAB LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EXPRESS LABORATORY SERVICES , INC.",
"enumeration_date": "2018-03-12",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A",
"authorized_official_last_name": "MARTIJA",
"authorized_official_first_name": "KERIEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-334-9234"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EXPRESS LABORATORY SERVICES, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EXPRESS LABORATORY SERVICES, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.