NPIMap

Organization Active NPI

Unilab Corporation

Doing business as DBA Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Newport Beach, CA
National Provider Identifier
1215955265
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0670384 Issued in CA
Legal business name
UNILAB CORPORATION
Doing business as
DBA Quest Diagnostics Incorporated
Practice address
1401 Avocado Ave Ste
Ste 103
Newport Beach, CA 92660-8701
Phone
(949) 729-1755
NPI assigned
Jul 18, 2006
Last updated
Sep 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 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 05D0670384 CA Primary

Addresses

Primary practice location

1401 Avocado Ave Ste
Ste 103
Newport Beach, CA 92660-8701

Mailing address

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

Other names 1

  • DBA Quest Diagnostics Incorporated Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204001064 CA Part B Supplier - Independent Clinical Laboratory 7618874512 16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arcadia, CA; Orange, CA; Redlands, CA; San Diego, CA; Ventura, CA; West Hills, CA

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory
Part of
Corning Lab Servicesinc

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1215955265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ADAMS AVE",
            "address_2": "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": "1401 AVOCADO AVE STE",
            "address_2": "STE 103",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608701",
            "telephone_number": "949-729-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNILAB CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-09-06",
        "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": "CA",
            "license": "05D0670384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Quest Diagnostics Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

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