NPIMap

Organization Active NPI

Sonora Quest Laboratories LLC

  • Clinical Medical Laboratory
  • Prescott, AZ
National Provider Identifier
1386421535
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SONORA QUEST LABORATORIES LLC
Practice address
5430 Landmark Lane
Prescott, AZ 86301-0019
Phone
(928) 775-9430
Fax
(928) 775-9431
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Nichole Kerr
Title
Sr Director Revenue Services
Phone
(602) 685-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5430 Landmark Lane
Prescott, AZ 86301-0019

Mailing address

424 S 56TH St Ste 100
Phoenix, AZ 85034-2177
Phone (602) 685-5574

Other names 1

  • SONORA QUEST LABORATORIES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001218 AZ Part B Supplier - Independent Clinical Laboratory 4688653629 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Peoria, AZ; Phoenix, AZ; Tempe, AZ; Tucson, AZ; Yuma, AZ

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations

201 London Pkwy
Ste 201
Birmingham, AL 35211
Phone (205) 314-7400

77 W Forest Ave
Ste 301
Flagstaff, AZ 86001
Phone (928) 635-7307

7200 W Bell Rd
Bldg A
Glendale, AZ 85308
Phone (623) 487-4822

926 E McDowell Rd
Ste 123
Phoenix, AZ 85006
Phone (602) 323-0737

980 Willow Creek Rd
Ste 204
Prescott, AZ 86301
Phone (928) 445-5261

3161 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 772-5308

3700 E Fort Lowell Rd
Ste 130
Tucson, AZ 85716
Phone (520) 325-9718

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1386421535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S 56TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342177",
            "telephone_number": "602-685-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 LANDMARK LANE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010019",
            "telephone_number": "928-775-9430",
            "fax_number": "928-775-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA QUEST LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "SR DIRECTOR REVENUE SERVICES",
        "authorized_official_telephone_number": "602-685-5427"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONORA QUEST LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.