Active NPI
Labone LLC
- Clinical Medical Laboratory
- Lexington, NE
National Provider Identifier
1639735269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABONE LLC
- Practice address
- 1103 Buffalo BND
Lexington, NE 68850-1528 - Phone
- (308) 324-1797
- NPI assigned
- May 20, 2019
- 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
- Charles Albert Bowles
- Title
- Vice President
- Phone
- (610) 454-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1103 Buffalo BND
Lexington, NE 68850-1528
Mailing address
1201 S Collegeville Rd
Collegeville, PA 19426-2998
Phone (610) 454-6000
Other names 1
- Quest Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090414000041 | NE | Part B Supplier - Independent Clinical Laboratory | 9931008893 |
8 other NPIs on this enrollment Practice locations: York, NE |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Questdiagnost Ic Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1639735269",
"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",
"telephone_number": "610-454-6000",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 BUFFALO BND",
"city": "LEXINGTON",
"state": "NE",
"postal_code": "688501528",
"telephone_number": "308-324-1797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABONE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
"enumeration_date": "2019-05-20",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"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": [
{
"organization_name": "Quest Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lexington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.