Quest Diagnostics Clinical Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

18D0323351 Issued in KY

Legal business name

QUEST DIAGNOSTICS CLINICAL LAB INC.

Practice address

2464 Fortune Drive
Suite 120
Lexington, KY 40509-4268

Phone

(800) 366-7522

NPI assigned

Jun 27, 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

Charles Albert Bowles

Title

Vice President

Phone

(610) 454-6000

Specialties & licenses 1

Addresses

Tax ID family

Quest Diags Clin Labs Inc101 organizations share this tax ID, including this one

Part of

Questdiagnost Ic Inc

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1275560906",
    "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": "866-697-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 FORTUNE DRIVE",
            "address_2": "SUITE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094268",
            "telephone_number": "800-366-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LAB INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "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": "KY",
            "license": "18D0323351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Denise Qualls
• Brandy Rae Qualls, RRT, RPFT
• Kylie Qualls
• Ted Richard Qualls, M.D.
• Sophia L Quesenberry
• Briana Quichocho
• William Carl Quick, CADC
• Amy M Quickert
• Shacota Deseree Quiles
• Terry Cooper Quillen

• Clinical Medical Laboratory in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.