Active NPI
Cleanquest LLC
- Clinical Medical Laboratory
- San Bernardino, CA
National Provider Identifier
1093392458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CLEANQUEST LLC
- Practice address
- 424 E Hospitality LN Ste B3
San Bernardino, CA 92408-3567 - Phone
- (714) 340-4690
- NPI assigned
- Mar 24, 2021
- Last updated
- Mar 24, 2021
- Organization subpart
- Yes
- Parent organization
- CLEANQUEST LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefani Martin
- Title
- Owner
- Phone
- (714) 340-4690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
424 E Hospitality LN Ste B3
San Bernardino, CA 92408-3567
Mailing address
17952 Sky Park Cir Ste K
Irvine, CA 92614-4416
Phone (714) 340-4690
National Provider Directory
National Provider Directory- Tax ID family
- Cleanquest LLC
- Part of
- Cleanquest LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Irvine, CA
- NPI 1194201558
Locations
424 E Hospitality Ln
Ste B3
San Bernardino, CA 92408
Phone (714) 340-4690
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
- Irvine, CA
- NPI 1194201558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1093392458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17952 SKY PARK CIR STE K",
"city": "IRVINE",
"state": "CA",
"postal_code": "926144416",
"telephone_number": "714-340-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 E HOSPITALITY LN STE B3",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083567",
"telephone_number": "714-340-4690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEANQUEST LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLEANQUEST LLC",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "STEFANI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-340-4690"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.