Quest Diagnostics TB LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

4223 Issued in TN

Legal business name

QUEST DIAGNOSTICS TB LLC

Practice address

5846 Distribution Dr
Memphis, TN 38141-8203

Phone

(877) 598-2522

Fax

(610) 271-4245

NPI assigned

May 7, 2012

Organization subpart

No

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 TN

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1114286523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013661",
            "telephone_number": "866-697-8378",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 DISTRIBUTION DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381418203",
            "telephone_number": "877-598-2522",
            "fax_number": "610-271-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS TB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "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": "TN",
            "license": "4223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L Darryl Quarles, M.D.
• Octavia Arnisha Quarles
• Amr Abdallah Moh'D Qudeimat, M.D.
• Queens and Crowns Hair Boutique LLC
• Quest Counseling Services LLC
• Madelein Quevedo Sarmiento
• Quick Non-Medical Transportation, LLC
• Quick There Corporation
• Quictek
• Karen Quigley, MD

• Clinical Medical Laboratory in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.