NPIMap

Organization Active NPI

Quest Diagnostics Massachusetts LLC

  • Clinical Medical Laboratory
  • Southborough, MA
National Provider Identifier
1750152765
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUEST DIAGNOSTICS MASSACHUSETTS LLC
Practice address
24 Newton St
Southborough, MA 01772-1215
Phone
(508) 481-5500
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
David Michael Betz
Title
Manager
Phone
(412) 216-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

24 Newton St
Southborough, MA 01772-1215

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 MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000095 MA Part B Supplier - Independent Clinical Laboratory 8628217486 34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Holden, MA; Worcester, MA; Westborough, MA; Southborough, MA; Shrewsbury, MA; Milford, MA; Leominster, MA; Hyannis, MA…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

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
22D2271626Quest Diagnostics Massachuetts, LLC24 Newton Street, Southborough, MA 01772Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Quest Diagnostics Massachusetts LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

398 Neponset Ave
Dorchester, MA 02122
Phone (617) 282-3200

69 Camp St
Hyannis, MA 02601
Phone (508) 778-4100

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

49 Harry Kemp Way
#2
Provincetown, MA 02657
Phone (508) 487-2062

222 Maple Ave
Shrewsbury, MA 01545
Phone (508) 845-6932

909 Sumner St
Bsmt
Stoughton, MA 02072
Phone (781) 297-1725

19 Tacoma St
Ste 101
Worcester, MA 01605
Phone (508) 854-9975

191 May St
Worcester, MA 01602
Phone (508) 368-7888

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1750152765",
    "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": "24 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-481-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-216-0670"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.