Organization 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
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200828002150 FL Part B Supplier - Independent Clinical Laboratory 0143647644 Practice locations: Port Richey, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2146924Quality Clinical Lab LLC10816 US Highway 19, Port Richey, FL 34668AccreditationJan 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"
        }
    ]
}

Other providers in Port Richey, FL

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.

Verify at the official NPI Registry.