LAB ONE LLC (NPI# 1639417140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639417140 |
| Entity Type | Organization |
| Organization Name | LAB ONE LLC |
| Other Organization Name | QUEST DIAGNOSTICS |
| Practice Address |
209 Nw 11th St Fairfield IL 62837-1218 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 6188424470 |
| Mailing Telephone | 8666978378 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | CHARLES ALBERT BOWLES (VICE PRESIDENT) |
| Authorized Official Telephone | 6104546000 |
| 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 | Laboratories |
| Other Name | Type Code |
|---|---|
| Quest Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718707 | Lab One LLC | Clinical Medical Laboratory | 625 United Dr Ste 170, Conway, AR 72032-7826 | 2019-06-11 |
| 1730653650 | Lab One LLC | Clinical Medical Laboratory | 2325 Dougherty Ferry Rd Ste 103, Saint Louis, MO 63122-3356 | 2019-01-14 |
| 1922583731 | Lab One LLC | Clinical Medical Laboratory | 404 Providence Rd, Macon, MO 63552-4222 | 2018-09-27 |
| 1831642149 | Lab One LLC | Clinical Medical Laboratory | 222 S Woods Mills Rd, Ste 410n, Chesterfield, MO 63017-3632 | 2016-08-03 |
| 1013244417 | Lab One LLC | Clinical Medical Laboratory | 2918 Louis Street, Lake Village, AR 71653-0000 | 2009-11-06 |
| 1245490366 | Lab One LLC | Clinical Medical Laboratory | 1301 Boones Lick Rd Ste A, Saint Charles, MO 63301-2463 | 2008-06-12 |
| 1972726917 | Lab One LLC | Pathology | 207a East 7th St, Hays, KS 67601-4152 | 2007-04-10 |
| 1225695075 | Lab One LLC | Clinical Medical Laboratory | 625 United Dr Ste 350, Conway, AR 72032-7829 | 2019-05-28 |
| 1356804637 | Lab One LLC | Clinical Medical Laboratory | 1705 E Broadway, Columbia, MO 65201-7166 | 2019-04-12 |
| 1598238446 | Lab One LLC | Clinical Medical Laboratory | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2019-01-03 |
| Street Address |
209 NW 11TH ST |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539918 | David K Israel | Pediatrics | 209 Nw 11th St, # 209, Fairfield, IL 62837-1218 | 2005-06-27 |
| 1245873579 | Ashten Taylor | Licensed Practical Nurse | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2019-10-18 |
| 1528622644 | Allison Frost | Nurse Practitioner | 209 Nw 11th St, Fairfield, IL 62837 | 2019-04-24 |
| 1467016758 | Christina M Copeland | Licensed Practical Nurse | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2019-04-23 |
| 1184190829 | Matthew Dean Brown | Physician Assistant | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2018-10-20 |
| 1174027544 | Deaconess Specialty Physicians, Inc | Internal Medicine | 209 Nw 11th St, Fairfield, IL 62837 | 2018-03-21 |
| 1518413988 | Natalie Maas | Registered Nurse | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2016-08-26 |
| 1891248423 | Christina Schuck | Registered Nurse | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2016-08-01 |
| 1750765004 | Rebecca Anthony | Registered Nurse | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2015-07-16 |
| 1174919724 | Taylor Loudermilk | Registered Nurse | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2015-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| 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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| 1548618408 | Reliance Diagnostics LLC | Clinical Medical Laboratory | 353 Us 46, Suite 215, Fairfield, NJ 07004-2415 | 2016-06-01 |
| 1932572484 | Metro Dx Labs Corporation | Clinical Medical Laboratory | 710 Us Highway 46, Suite 100, Fairfield, NJ 07004-1540 | 2015-11-05 |
| 1700194024 | Ethos Holding Corp. | Clinical Medical Laboratory | 3978 Mack Rd, Fairfield, OH 45014-5574 | 2010-09-21 |
| 1639404544 | Dna Diagnostics Center | Clinical Medical Laboratory | One Ddc Way, Fairfield, OH 45014-2296 | 2009-10-09 |
| 1417262981 | Multicare Management Svc., Inc | Clinical Medical Laboratory | 908 Symmes Rd, Fairfield, OH 45014-1842 | 2010-08-09 |
| 1700100211 | Immunogen Diagnostics, LLC | Clinical Medical Laboratory | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2010-03-26 |
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|---|---|---|---|---|
| 1235745670 | Rivercross Diagnostics Inc. | Clinical Medical Laboratory | 910 Broadway St Ste Ab, Quincy, IL 62301-2729 | 2020-09-21 |
| 1952915506 | Vip Labs LLC. | Clinical Medical Laboratory | 2555 Lincoln Hwy Ste 104, Olympia Fields, IL 60461-1938 | 2020-09-01 |
| 1538770276 | Precision Phlebotomy Inc | Clinical Medical Laboratory | 9241 S Roberts Rd, Hickory Hills, IL 60457-3809 | 2020-08-15 |
| 1316558182 | Southwest Medical Solutions Inc | Clinical Medical Laboratory | 5533 W 109th St Ste 101, Oak Lawn, IL 60453-5058 | 2020-08-13 |
| 1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
| 1922625961 | Abil Corporation | Clinical Medical Laboratory | 1375 Remington Rd Ste A, Schaumburg, IL 60173-4844 | 2020-06-25 |
| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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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.