Star Quality Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STAR QUALITY DIAGNOSTICS LLC

Practice address

1565 E Trinity Blvd # A5A6
Montgomery, AL 36106-2897

Phone

(334) 314-5691

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

Ansenio ClarkNPI 1699517821

Title

Owner

Phone

(334) 669-8574

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ansenio Clark, MLT

  • Clinical Medical Laboratory
  • Montgomery, AL
  • NPI 1699517821
  NPD Authorized official
• Tanikia N Perkins, BS, MLS

  • Clinical Pathology/Laboratory Medicine Physician
  • Montgomery, AL
  • NPI 1245070416
  NPD

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1356181515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 E TRINITY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062897",
            "telephone_number": "334-669-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 E TRINITY BLVD # A5A6",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062897",
            "telephone_number": "334-314-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR QUALITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANSENIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-669-8574"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Stanley, D.M.D.
• Ronald A Stanton, M.D.
• Sara Lynn Staples, MD
• Danita Henry Stapleton, L.P.C.
• Carol Stapper Gietl, PHYSICIAN ASSISTANT
• Piotr Starakiewicz, MD
• Lewis Antron Stargill
• Lakechia Clarice Starks
• State of Alabama
• State of Alabama

• Clinical Medical Laboratory in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.