Quasar Analytical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D2108666 Issued in CO

Legal business name

QUASAR ANALYTICAL LABORATORIES, LLC

Practice address

4835 Centennial Blvd
Colorado Springs, CO 80919-3308

Phone

(719) 309-6270

Fax

(719) 574-2404

NPI assigned

Aug 14, 2015

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Scott Kephart, PH.D.

Title

President

Phone

(719) 418-5210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1952777831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 CENTENNIAL BLVD",
            "address_2": "PMB STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073739",
            "telephone_number": "719-309-6270",
            "fax_number": "719-574-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193308",
            "telephone_number": "719-309-6270",
            "fax_number": "719-574-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUASAR ANALYTICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "KEPHART",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-418-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D2108666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Colorado Springs, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.