Active NPI
Quest Diagnostics Clinical Laboratories Inc.
- Clinical Medical Laboratory
- Salt Lake City, UT
National Provider Identifier
1699430249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- QUEST DIAGNOSTICS CLINICAL LABORATORIES INC.
- Practice address
- 1160 E 3900 S Ste 1200a
Salt Lake City, UT 84124-1202 - Phone
- (801) 261-9651
- Fax
- (801) 261-9656
- NPI assigned
- Nov 8, 2021
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS
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
1160 E 3900 S Ste 1200a
Salt Lake City, UT 84124-1202
Mailing address
1201 S Collegeville Rd
Collegeville, PA 19426-2998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180427002315 | UT | Part B Supplier - Independent Clinical Laboratory | 3173420585 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salt Lake City, UT; West Valley City, UT; South Jordan, UT |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- South Jordan, UT
- NPI 1477078137
O20180427002315
-
- Clinical Medical Laboratory
- Saint George, UT
- NPI 1528688629
O20180427002315
-
- Clinical Medical Laboratory
- Salt Lake City, UT
- NPI 1639799737
O20180427002315
-
- Clinical Medical Laboratory
- West Valley City, UT
- NPI 1730604471
O20180427002315
-
- Clinical Medical Laboratory
- Sandy, UT
- NPI 1942710199
O20180427002315
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2240000 | Utah Physicians Care Ctr - Quest Diagnostics | Certificate of waiver | Oct 14, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Quest Diags Clin Labs Inc
- Part of
- Questdiagnost Ic Inc
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- South Jordan, UT
- NPI 1477078137
-
- Clinical Medical Laboratory
- West Valley City, UT
- NPI 1730604471
Locations
1160 E 3900 S
Ste 1200A
Salt Lake City, UT 84124
Phone (801) 261-9651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1699430249",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E 3900 S STE 1200A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241202",
"telephone_number": "801-261-9651",
"fax_number": "801-261-9656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS",
"enumeration_date": "2021-11-08",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"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": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.