NPIMap

Organization Active NPI

Quest Diagnostics Massachusetts LLC

  • Clinical Medical Laboratory
  • Stoughton, MA
National Provider Identifier
1093733057
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
22D0650197 Issued in MA
Legal business name
QUEST DIAGNOSTICS MASSACHUSETTS LLC
Practice address
909 Sumner St BSMT
Stoughton, MA 02072-3396
Phone
(781) 297-1725
NPI assigned
Jul 18, 2006
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEST DIAGNOSTICS LLC MAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Michael Betz
Title
Director
Phone
(412) 920-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 22D0650197 MA Primary

Addresses

Primary practice location

909 Sumner St BSMT
Stoughton, MA 02072-3396

Mailing address

1201 S Collegeville Rd
Collegeville, PA 19426-2998
Phone (866) 697-8378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000095 MA Part B Supplier - Independent Clinical Laboratory 8628217486 34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Holden, MA; Worcester, MA; Westborough, MA; Southborough, MA; Shrewsbury, MA; Milford, MA; Leominster, MA; Hyannis, MA…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory
Part of
Quest Diagnostic Incorp

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1093733057",
    "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": "909 SUMNER ST BSMT",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723396",
            "telephone_number": "781-297-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS MASSACHUSETTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS LLC MA",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-920-7774"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "22D0650197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.