Cleanquest LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLEANQUEST LLC

Practice address

17952 Sky Park Cir Ste K
Irvine, CA 92614-4416

Phone

(714) 340-4690

Fax

(714) 698-4867

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Stefani Martin

Title

Owner

Phone

(714) 340-4690

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Cleanquest LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cleanquest LLC

  • Clinical Medical Laboratory
  • San Bernardino, CA
  • NPI 1093392458
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cleanquest LLC

  • Clinical Medical Laboratory
  • San Bernardino, CA
  • NPI 1093392458
  NPPES parent name

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1194201558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17952 SKY PARK CIR STE K",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144416",
            "telephone_number": "714-340-4690",
            "fax_number": "714-698-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17952 SKY PARK CIR STE K",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144416",
            "telephone_number": "714-340-4690",
            "fax_number": "714-698-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEANQUEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEFANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-340-4690"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@cleanquestlab.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17952 Sky Park Cir Ste K",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926144416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wanda Irene Claro, DDS, MS, INC
• Robert Claus
• Canaan Michael Clayton
• Clean Path Recovery, LLC
• Clean Path Recovery, LLC
• Clear Analytics Laboratory LLC
• Clear Passage Therapies Orange County, Inc.
• Bruce Bradley Cleeremans, MD
• Tyler Clem
• Sarah Clement

• Clinical Medical Laboratory in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.