NPIMap

Organization Active NPI

Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Greensboro, NC
National Provider Identifier
1487212551
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Practice address
4380 Federal Dr Ste 100
Greensboro, NC 27410-8149
Phone
(336) 664-6100
NPI assigned
Jun 3, 2019
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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
(866) 697-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4380 Federal Dr Ste 100
Greensboro, NC 27410-8149

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3661
Phone (866) 697-8378

Other practice location 1

10450 Park Rd Ste 200
Charlotte, NC 28210-8546
Phone (704) 541-9002

Other practice location 2

1110 SE Cary Pkwy Ste 203
Cary, NC 27518-7420
Phone (919) 233-0935

Other practice location 3

4082 Capital Dr
Rocky Mount, NC 27804-3123
Phone (252) 451-0005

Other practice location 4

4901 E Nc Highway 150
Browns Summit, NC 27214-9719
Phone (336) 295-3536

Other practice location 5

2402 Camden St SW Ste 700
Wilson, NC 27893-8609
Phone (252) 237-3142

Other practice location 6

719 Green Valley Rd Ste 305
Greensboro, NC 27408-7026
Phone (336) 272-3696

Other practice location 7

2200 Gateway Centre Blvd Ste 209
Morrisville, NC 27560-6218
Phone (336) 574-6918

Other practice location 8

1918 Randolph Rd Ste 140
Charlotte, NC 28207-1107
Phone (704) 316-4171

Other practice location 9

200 Charlois Blvd Ste 420
Winston Salem, NC 27103-1536
Phone (336) 774-1119

Other practice location 10

611 Mocksville Ave
Salisbury, NC 28144-2705
Phone (704) 630-6636

Other practice location 11

560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-1030

Other practice location 12

1915 S 17th St
Wilmington, NC 28401-6681
Phone (910) 362-9511

Other practice location 13

7920 Moores Chapel Rd
Charlotte, NC 28214-8923
Phone (704) 926-7809

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000681 NC Part B Supplier - Independent Clinical Laboratory 3173420585 13 other NPIs on this enrollment
Practice locations: Greensboro, NC; Wilson, NC; Wilmington, NC; Supply, NC; Salisbury, NC; Rocky Mount, NC; Morrisville, NC; Four Oaks, NC…

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 5

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0244225Quest Diagnostics - Midtown PSC -1918 Randolph Road, Suite 140, Charlotte, NC 28207AccreditationJun 13, 2028
34D0932172Quest Diagnostics - Greensboro4380 Federal Drive, Suite 100, Greensboro, NC 27410AccreditationMar 17, 2027
34D0981584Quest Diagnostics - Morrisville Stat2200 Gateway Centre Suite 209, Morrisville, NC 27560AccreditationFeb 10, 2028
34D2036633Quest Diagnostics - NC Kidney Care4082 Capital Drive, Rocky Mount, NC 27804Certificate of waiverFeb 9, 2028
34D2051921Quest Diagnostics- Cone Health Gynecology719 Green Valley Road, Suite 305, Greensboro, NC 27408AccreditationJul 30, 2027
34D2098835Quest Diagnostics - Dougherty10450 Park Road #200, Charlotte, NC 28210Certificate of waiverJul 14, 2027
34D2345289Quest Diagnostics - Rowan611 Mocksville Ave 1St Floor, Salisbury, NC 28144Certificate of waiverJun 7, 2028
34D2345906Onsite Clinical Solutions, LLC,611 Mocksville Ave, Salisbury, NC 28144Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Smithkline Beecham Labo101 organizations share this tax ID, including this one
Part of
Corning Nichols

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

10450 Park Rd
Ste 200
Charlotte, NC 28210
Phone (704) 541-9002

4380 Federal Dr
Ste 100
Greensboro, NC 27410
Phone (336) 315-6234

1915 S 17th St
Wilmington, NC 28401
Phone (910) 362-9511

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1487212551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013661",
            "telephone_number": "866-697-8378",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 FEDERAL DR STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108149",
            "telephone_number": "336-664-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10450 Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108546",
            "country_code": "US",
            "telephone_number": "704-541-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 SE Cary Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187420",
            "country_code": "US",
            "telephone_number": "919-233-0935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4082 Capital Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278043123",
            "country_code": "US",
            "telephone_number": "252-451-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 E Nc Highway 150",
            "address_purpose": "LOCATION",
            "city": "Browns Summit",
            "state": "NC",
            "postal_code": "272149719",
            "country_code": "US",
            "telephone_number": "336-295-3536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 Camden St SW Ste 700",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278938609",
            "country_code": "US",
            "telephone_number": "252-237-3142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Green Valley Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087026",
            "country_code": "US",
            "telephone_number": "336-272-3696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Gateway Centre Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275606218",
            "country_code": "US",
            "telephone_number": "336-574-6918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 Randolph Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071107",
            "country_code": "US",
            "telephone_number": "704-316-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Charlois Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031536",
            "country_code": "US",
            "telephone_number": "336-774-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442705",
            "country_code": "US",
            "telephone_number": "704-630-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286127918",
            "country_code": "US",
            "telephone_number": "828-874-1030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016681",
            "country_code": "US",
            "telephone_number": "910-362-9511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7920 Moores Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282148923",
            "country_code": "US",
            "telephone_number": "704-926-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "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": "866-697-8378"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.