Organization Active NPI

Bio Quest Laboratories LLC

  • Clinical Medical Laboratory
  • Orange Park, FL
National Provider Identifier
1891666483
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Sep 16, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20260505002829 FL Part B Supplier - Independent Clinical Laboratory 2860960143 Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

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
10D2331547Bio Quest Laboratories LLC2020 Kingsley Avenue Suite 3, Orange Park, FL 32073RegistrationOct 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.

Verify at the official NPI Registry.