Organization Active NPI

Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Bryn Mawr, PA
National Provider Identifier
1144504333
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Practice address
937 E Haverford Rd
Suite 102a
Bryn Mawr, PA 19010-3800
Phone
(610) 520-1908
Fax
(610) 520-1910
NPI assigned
Oct 6, 2011
Organization subpart
Yes
Parent organization
QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Gerald Scott Cartier
Title
VP of Revenue Services
Phone
(484) 676-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

937 E Haverford Rd
Suite 102a
Bryn Mawr, PA 19010-3800

Mailing address

1001 Adams Ave Mrgov 2ND Floor
Norristown, PA 19403-2429
Phone (484) 676-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040119000210 PA Part B Supplier - Independent Clinical Laboratory 3173420585 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norristown, PA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Quest Diags Clin Labs Inc101 organizations share this tax ID, including this one
Part of
Questdiagnost Ic Inc

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 1

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

Locations

937 E Haverford Rd
Ste 102A
Bryn Mawr, PA 19010
Phone (610) 520-1908

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1144504333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ADAMS AVE MRGOV 2ND FLOOR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032429",
            "telephone_number": "484-676-7000",
            "fax_number": "484-676-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E HAVERFORD RD",
            "address_2": "SUITE 102A",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103800",
            "telephone_number": "610-520-1908",
            "fax_number": "610-520-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2011-10-06",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "CARTIER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VP OF REVENUE SERVICES",
        "authorized_official_telephone_number": "484-676-7000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.