Quest Diagnostics Incorporated MD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUEST DIAGNOSTICS INCORPORATED MD

Practice address

10755 Falls Rd Ste 200
Lutherville, MD 21093-4583

Phone

(580) 301-4878

NPI assigned

Mar 9, 2022

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Charles Albert Bowles

Title

Vice President

Phone

(610) 454-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1245307818

  O20090108000053

  Same enrollment
• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Glen Burnie, MD
  • NPI 1386662336

  O20090108000053

  Same enrollment

Part of

Questdiagnost Ic Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1407503485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S COLLEGEVILLE RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262998",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD STE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934583",
            "telephone_number": "580-301-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS INCORPORATED MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-454-6000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Purdue
• Jill Purdy, LCSW-C
• Autumn Puryear, OTR/L
• Jason Quarantillo, LCPC
• William Scott Queale, M.D.
• Harry A Quigley, M.D.
• Angela Marie Quinn, LCSW-C
• Julie Quinn
• Bruce Arlan Rabin, M.D.. PH.D.
• Andrea Stokes Rackowski, LCSW-C

• Clinical Medical Laboratory in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.