Quest Diagnostics Incorporated MD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUEST DIAGNOSTICS INCORPORATED MD

Practice address

99 Tavern Rd
Martinsburg, WV 25401-2890

Phone

(304) 263-4999

NPI assigned

Jan 6, 2015

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

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

(804) 874-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1245307818

  3274696877

  Same PAC ID
• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Henrico, VA
  • NPI 1265314074

  3274696877

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Quest Diagnostics Inc MD7 organizations share this tax ID, including this one

Part of

Questdiagnost Ic Inc

Other organizations with this tax ID 6

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

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Hampton, VA
  • NPI 1356496749
  NPD tax ID
• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Midlothian, VA
  • NPI 1609676352
  NPD tax ID
• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Rockville, MD
  • NPI 1952329575
  NPD tax ID
• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1245307818
  NPD tax ID
• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Rockville, MD
  • NPI 1467676445
  NPD tax ID
• Quest Diagnostics Incorporated MD

  • Clinical Medical Laboratory
  • Chevy Chase, MD
  • NPI 1952329906
  NPD tax ID

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1730577206",
    "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": "99 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012890",
            "telephone_number": "304-263-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS INCORPORATED MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2015-01-06",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "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": "804-874-0505"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Putnam, PA-C
• Victoria A. Pyles, NNP-BC
• Kaylah Faith Qassis
• Quad/Med, LLC
• William F. Queen, DDS
• Emmanuelle Quiambao, PTA
• Joseph Radtke, DO
• Chelsy Raines
• Christina Rainey
• Susila Rajakumar, M.D.

• Clinical Medical Laboratory in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.