Quantum Laboratory Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUANTUM LABORATORY SERVICES LLC

Practice address

824 N Creek Dr
Conway, AR 72032-4711

Phone

(800) 733-4305

NPI assigned

Dec 24, 2021

Last updated

Dec 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Ann Hogrefe

Title

Owner

Phone

(800) 733-4305

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1336809862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N CREEK DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324711",
            "telephone_number": "800-733-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N CREEK DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324711",
            "telephone_number": "800-733-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "HOGREFE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-733-4305"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281864709",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "04D2217768",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2B8549",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Kelly Purvis, LPC
• Madison Nichole Putman
• Albert Braley Pyland, DDS
• Ashley Pyle, MS CCC-SLP
• Pyramid Therapy Services, Inc
• Angela Beth Quattlebaum, PHYSICAL THERAPIST
• Jessica Quesenberry, RECOVERY ASSISTANT
• Barry Don Quick, D.D.S.
• Donny Lynn Quick, DDS ORAL SURGEON
• Grace Elizabeth Quillen, LMSW

• Clinical Medical Laboratory in Conway, AR
• Providers in Conway, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.

Verify at the official NPI Registry.