NPIMap

Organization Active NPI

Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1669298055
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUEST DIAGNOSTICS LLC IL
Practice address
1431 N Western Ave Ste 202
Chicago, IL 60622-7712
Phone
(773) 267-2272
NPI assigned
Dec 2, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Leah D Timmerman
Title
Vice President
Phone
(973) 520-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1431 N Western Ave Ste 202
Chicago, IL 60622-7712

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000665 IL Part B Supplier - Independent Clinical Laboratory 3779474986 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Moline, IL; Wood Dale, IL; Schaumburg, IL; Rock Island, IL; Moline, IL; Chicago, IL

Other NPIs on the same Medicare enrollment 11

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
14D0425483Prime Healthcare Il MG Ukranian PC Smnil1431 N Western Ave #503, Chicago, IL 60622Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Quest Diagnostics LLC Il24 organizations share this tax ID, including this one
Part of
Corning Nichols

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

1632 W Central Rd
Ste D
Arlington Heights, IL 60005
Phone (847) 253-8050

1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841

4747 W Peterson Ave
Ste 204
Chicago, IL 60646
Phone (773) 282-0254

101 Waukegan Rd
Ste 1250
Lake Bluff, IL 60044
Phone (847) 295-7440

8915 W Golf Rd
Fl 1
Niles, IL 60714
Phone (847) 692-9255

1335 N Mittel Blvd
Wood Dale, IL 60191
Phone (630) 595-3888

6545 France Ave S
#200
Edina, MN 55435
Phone (800) 888-8333

2711 E Franklin Ave
Rm A
Minneapolis, MN 55406
Phone (651) 387-7337

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

600 County Road D W
Ste 11
New Brighton, MN 55112
Phone (651) 635-1500

2025 Stearns Way
Ste 109
Saint Cloud, MN 56303
Phone (800) 888-8333

14590 State Route 93
Ste A
Jackson, OH 45640
Phone (740) 286-2826

227 Valley View Dr
Ste A
Waverly, OH 45690
Phone (740) 947-7726

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 257

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 257

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1669298055",
    "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",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227712",
            "telephone_number": "773-267-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS LLC IL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-520-2700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.