Active NPI
Quest Diagnostics Venture LLC
- Clinical Medical Laboratory
- Pittsburgh, PA
National Provider Identifier
1619040284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 39D0938116
- Legal business name
- QUEST DIAGNOSTICS VENTURE LLC
- Practice address
- 875 Greentree Rd
Pittsburgh, PA 15220-3508 - Phone
- (412) 920-7600
- NPI assigned
- Nov 15, 2006
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Tobias
- Title
- Chief Executive Officer
- Phone
- (412) 920-7643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 39D0938116 | Primary |
Addresses
Primary practice location
875 Greentree Rd
Pittsburgh, PA 15220-3508
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Phone (774) 843-3062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071130000498 | PA | Part B Supplier - Independent Clinical Laboratory | 2769571538 | Practice locations: Pittsburgh, PA |
National Provider Directory
National Provider Directory- Part of
- Questdiagnost Ic Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Boardman, OH
- NPI 1962659656
Member Of
Locations
500 N Lewis Run Rd
Ste 1
Pittsburgh, PA 15122
Phone (412) 466-9151
875 Greentree Rd
Bldg 4
Pittsburgh, PA 15220
Phone (412) 920-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1619040284",
"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": "774-843-3062",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 GREENTREE RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152203508",
"telephone_number": "412-920-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEST DIAGNOSTICS VENTURE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
"enumeration_date": "2006-11-15",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "TOBIAS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "412-920-7643"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": "39D0938116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.