NPIMap

Organization Active NPI

Sonora Quest Laboratories LLC

  • Clinical Medical Laboratory
  • Tempe, AZ
National Provider Identifier
1134701824
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SONORA QUEST LABORATORIES LLC
Practice address
7695 S Research Dr
Tempe, AZ 85284-1812
Phone
(480) 256-1664
Fax
(480) 726-1854
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Mr. David A Dexter, CEO
Title
President/Ceo
Phone
(602) 685-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7695 S Research Dr
Tempe, AZ 85284-1812

Mailing address

PO Box 67150
Phoenix, AZ 85082-7150
Phone (602) 685-5000

Other names 1

  • Sonora Quest Laboratories - East Valley Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001218 AZ Part B Supplier - Independent Clinical Laboratory 4688653629 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Peoria, AZ; Phoenix, AZ; Tempe, AZ; Tucson, AZ; Yuma, AZ

Other NPIs on the same Medicare enrollment 22

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

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2227089Sonora Quest Laboratories - East Valley7695 S Research Dr, Tempe, AZ 85284RegistrationApr 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sonora Quest Laboratories17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1134701824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850827150",
            "telephone_number": "602-685-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 S RESEARCH DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841812",
            "telephone_number": "480-256-1664",
            "fax_number": "480-726-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA QUEST LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-685-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonora Quest Laboratories - East Valley",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sonora Quest Laboratories - East Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.