Quest Diagnostics Clinical Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

28D0453993 Issued in NE

Legal business name

QUEST DIAGNOSTICS CLINICAL LAB INC.

Practice address

10020 Nicholas St
Ste 102
Omaha, NE 68114-2188

Phone

(402) 399-8365

NPI assigned

Jul 18, 2006

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

(866) 697-8378

Specialties & licenses 1

Addresses

Tax ID family

Quest Diags Clin Labs Inc101 organizations share this tax ID, including this one

Part of

Questdiagnost Ic Inc

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670025600000",
    "number": "1811915879",
    "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",
            "telephone_number": "866-697-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 NICHOLAS ST",
            "address_2": "STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142188",
            "telephone_number": "402-399-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LAB INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "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": "866-697-8378"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NE",
            "license": "28D0453993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Queen, DC
• Mary Alice Queen, PT
• Angie Christine Querim, PHD, BCBA-D
• Rebekah Quesada
• Joshua Thomas Quesenberry
• Alisia Quevedo
• Laura Melissa Quezada Lopez, PLMHP
• Emily Quezada
• Juana Quezada
• Maria Lilia Quezada

• Clinical Medical Laboratory in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Medical Laboratory in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.