Quest Diagnostics Clinical Laboratories Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

17D0912191 Issued in KS

Legal business name

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC.

Practice address

9050 E 29TH St N Ste 80
Wichita, KS 67226-2191

Phone

(316) 685-5185

Fax

(316) 685-8571

NPI assigned

Jul 18, 2006

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

J Pablo Lake

Title

VP of Revenue Services

Phone

(484) 676-7000

Specialties & licenses 1

Addresses

Part of

Questdiagnost Ic Inc

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1194743153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ADAMS AVE",
            "address_2": "2ND FLOOR MRGOV",
            "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": "9050 E 29TH ST N STE 80",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262191",
            "telephone_number": "316-685-5185",
            "fax_number": "316-685-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "J PABLO",
        "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": "KS",
            "license": "17D0912191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmilee Qualls
• Peyton Quandt
• Sacia Quattlebaum, MA, LMAC-T
• Sharie R Quattlebaum, LSCSW
• Quest Diagnostics
• Michael Quick
• Tim Quiggle, LMFT
• Timothy F Quigley, PA
• Alex Quilling, MD
• Tiffany Quincy, RN

• Clinical Medical Laboratory in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Medical Laboratory in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.