Active NPI
Bio Quest Laboratories LLC
- Clinical Medical Laboratory
- Orange Park, FL
National Provider Identifier
1891666483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BIO QUEST LABORATORIES LLC
- Practice address
- 2020 Kingsley Ave Ste 3
Orange Park, FL 32073-5181 - Phone
- (904) 467-0551
- NPI assigned
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerey Lee Bravo Esponda
- Title
- Owner
- Phone
- (904) 476-8670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2020 Kingsley Ave Ste 3
Orange Park, FL 32073-5181
Mailing address
2020 Kingsley Ave Ste 3
Orange Park, FL 32073-5181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260505002829 | FL | Part B Supplier - Independent Clinical Laboratory | 2860960143 | Practice locations: Orange Park, FL |
National Provider Directory
National Provider DirectoryLaboratory 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 |
|---|---|---|---|
| 10D2331547 | Bio Quest Laboratories LLC | Registration | Oct 2, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1891666483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 KINGSLEY AVE STE 3",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 KINGSLEY AVE STE 3",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735181",
"telephone_number": "904-467-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO QUEST LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "BRAVO ESPONDA",
"authorized_official_first_name": "JEREY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-476-8670"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.