LAB ONE INC (NPI# 1831454909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831454909 |
Entity Type | Organization |
Organization Name | LAB ONE INC |
Other Organization Name | QUEST DIAGNOSTICS |
Practice Address |
305 W Jackson St Ste 200 Carbondale IL 62901-1474 |
Mailing Address |
1001 Adams Ave Mrgov 2nd Floor Norristown PA 19403-2429 |
Practice Telephone | 6185366621 |
Mailing Telephone | 4846767000 |
Mailing Fax Number | 4846765309 |
Enumeration Date | 2012-07-05 |
Last Update Date | 2012-09-06 |
Authorized Official Name | GERALD SCOTT CARTIER (VP OF REVENUE SERVICES) |
Authorized Official Telephone | 4846767000 |
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 |
---|---|---|---|---|
1215071501 | Lab One Inc | Clinical Medical Laboratory | 5400 North Oak, Suite 105, Kansas City, MO 64118-4688 | 2007-02-19 |
1922415975 | Lab One Inc | Clinical Medical Laboratory | 3841 Frederick Ave, Saint Joseph, MO 64506-3020 | 2014-07-22 |
1790052959 | Lab One Inc | Clinical Medical Laboratory | 405 Rushing Drive, Herrin, IL 62948-3730 | 2011-11-16 |
1720303290 | Lab One Inc | Clinical Medical Laboratory | 10550 Quivira Rd, Ste 410, Overland Park, KS 66215-2306 | 2010-03-29 |
1740493444 | Lab One Inc | Clinical Medical Laboratory | 207a E 7th St, Hays, KS 67601-4152 | 2007-05-08 |
1275677429 | Lab One Inc | Clinical Medical Laboratory | 11725 W 112th St, Overland Park, KS 66210-2761 | 2007-02-19 |
1215071477 | Lab One Inc | Clinical Medical Laboratory | 10100 W 119th St, Overland Park, KS 66213-1604 | 2007-02-19 |
Street Address |
305 W JACKSON ST STE 200 |
City | CARBONDALE |
State | IL |
Zip Code | 62901-1474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073599767 | Erhime T Badejo | Registered Nurse | 305 W Jackson St Ste 200, Carbondale Family Medicine, Carbondale, IL 62901-1474 | 2005-12-15 |
1972165918 | Andrew Jeffry Vanscoyk | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2019-06-30 |
1720649858 | David Heath Trahan | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2019-06-28 |
1407416308 | Nicole Poythress Waters | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2019-06-13 |
1548827124 | Max Crouse | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2019-05-20 |
1336605237 | Macy L Henson | Physician Assistant | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2019-02-15 |
1821583964 | Dois Charles Ogan | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2018-06-29 |
1396239455 | Nicole Gyasi | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2018-06-21 |
1578057873 | Sohaib Sajjad | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2018-06-20 |
1285128504 | Charelle Octavia Smith | Family Medicine | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2018-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
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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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205323763 | Laboratory Corporation of America | Clinical Medical Laboratory | 400 S Lewis Ln, Carbondale, IL 62901 | 2018-04-19 |
1275020992 | Laboratory Corporation of America | Clinical Medical Laboratory | 101 S Wall St, Carbondale, IL 62901 | 2018-04-18 |
1811303977 | Lab One LLC | Clinical Medical Laboratory | 400 S Lewis Ln, Carbondale, IL 62901-3547 | 2014-07-09 |
1336205913 | Clinic Laboratory | Clinical Medical Laboratory | 2601 W Main St, Carbondale, IL 62901-1031 | 2006-12-28 |
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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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City | CARBONDALE |
Zip Code | 62901 |
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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.