Quantum Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUANTUM LABORATORY

Practice address

3466 Bridgeland Dr
Bridgeton, MO 63044-2626

Phone

(618) 207-7921

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Sylvester Williams

Title

Owner

Phone

(618) 207-7921

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1265054167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR STE 100",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442626",
            "telephone_number": "618-207-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-207-7921"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zoe@mccbgroup.com",
            "affiliation": "N",
            "address_1": "3466 Bridgeland Dr",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Medical Laboratory in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.