Quest Healthconnect LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

QUEST HEALTHCONNECT LLC

Practice address

1241 E Dyer Rd Ste 145
Santa Ana, CA 92705-5694

Phone

(888) 306-0615

NPI assigned

Jun 26, 2020

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

Charles Albert Bowles

Title

Vice President

Phone

(610) 454-6000

Specialties & licenses 2

Addresses

Other names 1

• Mobile Medical Examination Services, LLC Former legal business name

Tax ID family

Mobile Med Exam Service2 organizations share this tax ID, including this one

Part of

Questdiagnost Ic Inc

Other organizations with this tax ID 1

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

• Mobile Medical Examination Services Mso

  • Bone Densitometry Radiologic Technologist
  • Santa Ana, CA
  • NPI 1780090787
  NPD tax ID

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1184241028",
    "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": "1241 E DYER RD STE 145",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055694",
            "telephone_number": "888-306-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST HEALTHCONNECT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-454-6000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medical Examination Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mobile Medical Examination Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.