QUEST DIAGNOSTICS INCORPORATED MI (NPI# 1629096680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629096680 |
| Entity Type | Organization |
| Organization Name | QUEST DIAGNOSTICS INCORPORATED MI |
| Practice Address |
4695 44th St Se Ste B125 Kentwood MI 49512-4132 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 6165411706 |
| Mailing Telephone | 8666978378 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-12-05 |
| 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 | 23D0651058 | MI | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861633216 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 543 N Main St Ste 223, Rochester Hills, MI 48307-1485 | 2009-03-16 |
| 1922026541 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 2062 N Center Rd, Saginaw, MI 48603-3716 | 2006-07-18 |
| 1124085576 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 4100 Pier North Blvd, Flint, MI 48504-1487 | 2006-04-28 |
| 1689084667 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 4045 W 13 Mile Rd, Royal Oak, MI 48073-6640 | 2014-04-30 |
| 1225303480 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2012-03-20 |
| 1215202486 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 520 Cobb St, Laboratory, Cadillac, MI 49601-2588 | 2012-03-20 |
| 1033405410 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 5680 Bow Pointe Dr, Clarkston, MI 48346-5407 | 2011-06-23 |
| 1346548260 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 3394 E Jolly Rd, Suite C, Lansing, MI 48910-8594 | 2011-03-01 |
| 1326066374 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 32270 Telegraph Rd, Ste 100, Bingham Farms, MI 48025-2456 | 2006-07-18 |
| 1053339002 | Quest Diagnostics Incorporated Mi | Clinical Medical Laboratory | 1695 W 12 Mile Rd, Ste 200, Berkley, MI 48072-2182 | 2006-07-18 |
| Street Address |
4695 44TH ST SE STE B125 |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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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| Find all providers with the same taxonomy | ||||
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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.