Quest Diagnostics Clinical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D0652092 Issued in MO

Legal business name

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

Practice address

11636 Administration Drive
Maryland Heights, MO 63146-3534

Phone

(314) 872-6302

NPI assigned

Jul 27, 2007

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Leah D Timmerman

Title

Vice President

Phone

(973) 520-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Maryland Heights, MO
  • NPI 1083650816

  O20040726000854

  Same enrollment
• Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Saint Joseph, MO
  • NPI 1427312560

  O20040726000854

  Same enrollment
• Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Lee's Summit, MO
  • NPI 1639507858

  O20040726000854

  Same enrollment
• Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Saint Louis, MO
  • NPI 1790815231

  O20040726000854

  Same enrollment
• Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Kansas City, MO
  • NPI 1851729073

  O20040726000854

  Same enrollment

Part of

Questdiagnost Ic Inc

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1104016088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11636 ADMINISTRATION DRIVE",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "631463534",
            "telephone_number": "314-872-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-520-2700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0652092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A. Portnoy, PH.D
• Fredric A Prater, D.O.
• Precious Rutlin LLC
• Ann-Marie Puricelli, M.D.
• Quest Diagnostics Clinical Laboratories Inc
• Sudhir R Raikar, M.D.
• Anjana Ramachandranrao
• Manju Ramchandani, M.D.
• Kara Lynn Randall, SLP
• Ranken-Jordan Home for Convalescent Crippled Children (Ranken Jordan Pediatric Bridge Hospital)

• Clinical Medical Laboratory in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.