QUEST DIAGNOSTICS LLC (NPI# 1194743724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194743724 |
| Entity Type | Organization |
| Organization Name | QUEST DIAGNOSTICS LLC |
| Practice Address |
555 Lordship Blvd Stratford CT 06615-7156 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 2039491260 |
| Mailing Telephone | 8666978378 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | CHARLES ALBERT BOWLES (VICE PRESIDENT) |
| Authorized Official Telephone | 6104544122 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUEST DIAGNOSTICS INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 07D0099575 | CT | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376745984 | Quest Diagnostics LLC | Clinical Medical Laboratory | 3000 Dixwell Ave, Hamden, CT 06518-3522 | 2007-06-05 |
| 1255533808 | Quest Diagnostics LLC | Clinical Medical Laboratory | 118 New London Tpke, Norwich, CT 06360-2616 | 2007-06-05 |
| 1447278403 | Quest Diagnostics LLC | Clinical Medical Laboratory | 1524 Atwood Ave, Ll1, Johnston, RI 02919-3228 | 2006-07-18 |
| 1073531638 | Quest Diagnostics LLC | Clinical Medical Laboratory | 14 Tsienneto Road, Suite 201, Derry, NH 03038-1584 | 2006-07-18 |
| 1174569909 | Quest Diagnostics LLC | Clinical Medical Laboratory | 3 Sterling Dr, Wallingford, CT 06492-5915 | 2006-06-21 |
| 1710518824 | Quest Diagnostics LLC | Clinical Medical Laboratory | 60 Westwood Ave, Waterbury, CT 06708-2460 | 2020-01-28 |
| 1144737628 | Quest Diagnostics LLC | Clinical Medical Laboratory | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2018-01-05 |
| 1982111555 | Quest Diagnostics LLC | Clinical Medical Laboratory | 118 New London Tpke, Norwich, CT 06360-2635 | 2018-01-04 |
| 1780122192 | Quest Diagnostics LLC | Clinical Medical Laboratory | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-02-06 |
| 1407398712 | Quest Diagnostics LLC | Clinical Medical Laboratory | 100 Retreat Ave, Suite 408, Hartford, CT 06106-2528 | 2016-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | QUEST DIAGNOSTICS LLC | 1355 Mittel Boulevard, Wood Dale, IL 60191 |
| Colorado Business Entities | QUEST DIAGNOSTICS LLC | 2020 N Academy Blvd, Ste 261 #1170, Colorado Springs, CO 80909 |
| Vermont Business Registrations | QUEST DIAGNOSTICS LLC | 200 Forest Street, Marlborough, MA 01752 |
| Street Address |
555 LORDSHIP BLVD |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-7156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689829798 | Naga Aditya Teja Vemparala | Physical Therapist | 555 Lordship Blvd, Stratford, CT 06615 | 2008-11-18 |
| 1891811329 | Christopher A Maude | Physical Therapist | 555 Lordship Blvd, Stratford, CT 06615-7156 | 2007-03-22 |
| 1174649008 | Howard E Zusman | Preventive Medicine | 555 Lordship Blvd, Stratford, CT 06615-7156 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.