QUEST DIAGNOSTICS LLC IL (NPI# 1851901466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851901466 |
| Entity Type | Organization |
| Organization Name | QUEST DIAGNOSTICS LLC IL |
| Practice Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Mailing Address |
14275 Midway Rd Ste 400 Addison TX 75001-3614 |
| Practice Telephone | 8666978378 |
| Mailing Telephone | 2149328018 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| 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 | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2817 New Pinery Rd, Portage, WI 539019240 | 8666978378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203826 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 4852 S 6th St, Milwaukee, WI 53221-2462 | 2020-07-27 |
| 1053937219 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 23030 State Route 73 Ste A, West Portsmouth, OH 45663-8861 | 2020-06-23 |
| 1790321750 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 600 E Preston St Ste 204, Mt Pleasant, MI 48859-2013 | 2019-11-25 |
| 1851805915 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 11091 Ulysses St Ne Ste 100, Blaine, MN 55434-4238 | 2017-11-28 |
| 1588178602 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 8515 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8624 | 2017-11-28 |
| 1124541388 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 3133 S Telegraph Rd Ste B, Dearborn, MI 48124-3472 | 2017-07-19 |
| 1710906342 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 870 W End Ct, Vernon Hills, IL 60061-1383 | 2006-07-18 |
| 1912925975 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 17130 Torrence Ave, Ste 420, Lansing, IL 60438-6042 | 2006-07-18 |
| 1649298605 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 600 County Road D W, Ste 11, New Brighton, MN 55112-3519 | 2006-07-18 |
| 1881630614 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 1355 Mittel Blvd, Wood Dale, IL 60191-1024 | 2006-06-21 |
| Street Address |
707 S UNIVERSITY AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941701 | Mary Ann Chambers | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2005-06-13 |
| 1700350683 | Devyn Beaugh | Pharmacist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2019-01-14 |
| 1871091207 | Ryan Patrick Gallagher | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2018-01-31 |
| 1992212062 | Beaver Dam Community Hospitals Inc | Internal Medicine | 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 | 2018-01-10 |
| 1720590763 | Ellen Joyce Ellingsworth | Dietitian, Registered | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2017-10-31 |
| 1265984413 | Kayla Sharpee | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-11-03 |
| 1427506096 | Jami Nicole Burg | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-09-13 |
| 1619420932 | Caleb Mabis | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-08-03 |
| 1245680511 | Benjamin Williams | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-06-17 |
| 1487004669 | Rachel Peerenboom | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356321715 | Ameripath Milwaukee Sc | Pathology | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316533 | Andrii Puzyrenko | Pathology | 9200 W Wisconsin Ave Ste L83, Milwaukee, WI 53226-3522 | 2020-08-16 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1447694328 | Patrick Stephen Rush | Pathology | 600 Highland Ave. H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2013-04-23 |
| 1346501756 | James Murray Angevine | Pathology | 602 Mineral Pt Road, Apt 214, Madison, WI 53705-4577 | 2012-06-01 |
| 1023314549 | Stephen Lee Mcclellan | Pathology | N4656 Lakeshore Dr, Kewaunee, WI 54216-9794 | 2011-01-31 |
| 1922231414 | Darrell Peter Skarphol | Pathology | 2480 Edgewood Ct, Green Bay, WI 54302-4813 | 2009-08-31 |
| 1518110147 | Werner Adam Reis | Pathology | 839 N Jefferson St Ste 300, Milwaukee, WI 53202-3744 | 2008-10-28 |
| 1598927444 | Leela C Thachenkary | Pathology | 7107-49th Ave, Kenosha, WI 53142 | 2008-07-01 |
| 1326211384 | Scott James Kantola | Pathology | 2800 Westhill Dr Ste 208, Wausau, WI 54401-3770 | 2008-04-10 |
| 1437355997 | Monica Goswami | Pathology | 10472 W Montana Ave, # 215, West Allis, WI 53227-3263 | 2007-06-22 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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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.