Active NPI
Lab One LLC
- Clinical Medical Laboratory
- Conway, AR
National Provider Identifier
1225695075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LAB ONE LLC
- Practice address
- 625 United Dr Ste 350
Conway, AR 72032-7829 - Phone
- (501) 504-2700
- Fax
- (501) 504-2717
- NPI assigned
- May 28, 2019
- Last updated
- May 28, 2019
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
625 United Dr Ste 350
Conway, AR 72032-7829
Mailing address
1201 S Collegeville Rd
Collegeville, PA 19426-2998
Phone (610) 454-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100116000063 | AR | Part B Supplier - Independent Clinical Laboratory | 9931008893 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camden, AR; Fayetteville, AR; Fort Smith, AR; Lake Village, AR; Rogers, AR |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Quest Diagnostics
- Clinical Medical Laboratory
- Lake Village, AR
- NPI 1013244417
O20100116000063
-
dba Quest Diagnostics
- Clinical Medical Laboratory
- Lake Village, AR
- NPI 1669800165
O20100116000063
-
dba Quest Diagnostics
- Clinical Medical Laboratory
- Fort Smith, AR
- NPI 1487926572
O20100116000063
-
dba Quest Diagnostics Inc
- Clinical Medical Laboratory
- Rogers, AR
- NPI 1982278438
O20100116000063
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": "1559001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559001600000",
"number": "1225695075",
"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": "610-454-6000",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 UNITED DR STE 350",
"city": "CONWAY",
"state": "AR",
"postal_code": "720327829",
"telephone_number": "501-504-2700",
"fax_number": "501-504-2717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAB ONE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"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": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.