Quest Diagnostics LLC Il

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUEST DIAGNOSTICS LLC IL

Practice address

925 S 4TH St
Clinton, IA 52732-5726

Phone

(866) 697-8378

NPI assigned

Oct 9, 2023

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

Charles Albert Bowles

Title

Vice President

Phone

(668) 697-8378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1235910936

  O20240722000861

  Same enrollment
• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1366223166

  O20240722000861

  Same enrollment

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 LLC Il24 organizations share this tax ID, including this one

Part of

Questdiagnost Ic Inc

Other organizations with this tax ID 23

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

• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1235910936
  NPD tax ID
• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1366223166
  NPD tax ID
• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Mount Pleasant, IA
  • NPI 1942194196
  NPD tax ID
• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Moline, IL
  • NPI 1558389510
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1083205942
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Minneapolis, MN
  • NPI 1376207399
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1568048205
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1609460765
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1730770751
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1851982623
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Rock Island, IL
  • NPI 1912788506
  NPD tax ID
• Quest Diagnostics LLC

  • Clinical Medical Laboratory
  • Moline, IL
  • NPI 1962283655
  NPD tax ID

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1750162467",
    "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": "750013614",
            "telephone_number": "214-932-8018",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325726",
            "telephone_number": "866-697-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS LLC IL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "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": "668-697-8378"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie M Reilly, L.I.S.W.

• Clinical Medical Laboratory in Clinton, IA
• Providers in Clinton, IA by specialty
• Clinical Medical Laboratory in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.