Organization Active NPI

Cleanquest LLC

  • Clinical Medical Laboratory
  • San Bernardino, CA
National Provider Identifier
1093392458
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEANQUEST LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one
Part of
Cleanquest LLC

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.