Ani Qu, LAB DIRECTOR

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

25MS00021900 Issued in NJ

Practice address

694 Ewing Street, Princeton, NJ, 08540.
12 Roszel Road, B102
Princeton, NJ 08540-6254

Phone

(609) 878-2889

Fax

(609) 913-2889

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Labturbo Biotech, LLC

  • Clinical Medical Laboratory
  • Princeton, NJ
  • NPI 1114672045
  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1326749888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 EWING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402739",
            "telephone_number": "609-878-2889",
            "fax_number": "609-913-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 EWING STREET, PRINCETON, NJ, 08540.",
            "address_2": "12 ROSZEL ROAD, B102",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406254",
            "telephone_number": "609-878-2889",
            "fax_number": "609-913-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QU",
        "first_name": "ANI",
        "credential": "LAB DIRECTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NJ",
            "license": "25MS00021900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Prus-Wisniewski, M.D.
• PSJC Associates
• Roberta Mary Pughe
• Rajesh Punwaney, M.D.
• Margot Putukian, MD
• Quality Assisted Living, Inc. (Acorn Glen)
• Quantum Medcial Radiology of California, P.C.
• Quantum Medical Radiology, P.C.
• Edward Malcolm Quigley, LPC, LMFT
• Afreen Quraishi, PA-C, MPAS

• Clinical Laboratory Director (Non-physician) in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Laboratory Director (Non-physician) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.