Active NPI
Quest Diagnostics of Pennsylvania Inc.
- Clinical Medical Laboratory
- Warren, OH
National Provider Identifier
1275780967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 36D1067584
- Legal business name
- QUEST DIAGNOSTICS OF PENNSYLVANIA INC.
- Practice address
- 700 Howland Wilson Rd SE
Warren, OH 44484-2512 - Phone
- (330) 856-8611
- NPI assigned
- Aug 25, 2008
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah D Timmerman
- Title
- Vice President
- Phone
- (973) 520-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 36D1067584 | OH | Primary |
Addresses
Primary practice location
700 Howland Wilson Rd SE
Warren, OH 44484-2512
Mailing address
4770 Regent Blvd
Irving, TX 75063-2445
Phone (774) 843-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127000652 | OH | Part B Supplier - Independent Clinical Laboratory | 2365345550 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boardman, OH; Twinsburg, OH; Warren, OH |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Boardman, OH
- NPI 1962659656
O20040127000652
-
- Clinical Medical Laboratory
- Twinsburg, OH
- NPI 1205854817
O20040127000652
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1067584 | Quest Diagnostics of Pennsylvania Inc | Compliance | Oct 24, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- MDS Laboratories
- Part of
- Questdiagnost Ic Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Boardman, OH
- NPI 1962659656
-
- Clinical Medical Laboratory
- Twinsburg, OH
- NPI 1205854817
-
- Clinical Medical Laboratory
- Pittsburgh, PA
- NPI 1811036833
-
- Clinical Medical Laboratory
- Pittsburgh, PA
- NPI 1578520946
-
- Clinical Medical Laboratory
- North Syracuse, NY
- NPI 1336167964
-
- Clinical Medical Laboratory
- Buffalo, NY
- NPI 1366460321
-
- Clinical Medical Laboratory
- Pittsburgh, PA
- NPI 1841236684
Locations
700 Howland Wilson Rd SE
Warren, OH 44484
Phone (330) 856-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1275780967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 REGENT BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750632445",
"telephone_number": "774-843-3205",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HOWLAND WILSON RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444842512",
"telephone_number": "330-856-8611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEST DIAGNOSTICS OF PENNSYLVANIA INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
"enumeration_date": "2008-08-25",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "TIMMERMAN",
"authorized_official_first_name": "LEAH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "973-520-2700"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OH",
"license": "36D1067584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.