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QUAD/MED, LLC
NPI 1003324542
Clinic/Center - Primary Care in Grain Valley, MO

Active since January 18, 2018CLIA 52D0676414 · Accreditation
2015 NE JEFFERSON STREET, GRAIN VALLEY, MO 64029(816) 847-7451 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Feb 10, 2021, Aug 28, 2020 and 2 more (5 updates tracked since 2018).

About Quad/med, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUAD/MED, LLC (NPI 1003324542) is a healthcare organization registered as a primary care in Grain Valley, Missouri and active in the NPI registry since January 2018. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Robert L Poulsen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003324542
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameQUAD/MED, LLC
Location Address2015 NE JEFFERSON STREETGrain Valley, MO 64029
Mailing AddressW227n6103 Sussex RdSussex, WI 53089-3969 · (414) 566-8400
Phone(816) 847-7451
Organization SubpartNo
Authorized OfficialRobert L PoulsenCfo · (414) 566-8400
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1003324542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2015 NE JEFFERSON STREET, Grain Valley, MO 64029
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0676414

Quad Med Clinic-Sussex · Sussex, WI
Active · expires Dec 22, 2027
CLIA Number52D0676414
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorMs. Heather Tarczewski
Laboratory Phone(414) 566-8020
Laboratory LocationQuad Med Clinic-SussexW227 N6103 Sussex Rd, Sussex, WI 53089
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quad/Med, LLC's NPI number?

The NPI number for Quad/Med, LLC is 1003324542. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Quad/Med, LLC located?

Quad/Med, LLC is located at 2015 NE Jefferson Street, Grain Valley, MO 64029. The listed phone number is (816) 847-7451.

What is Quad/Med, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Quad/Med, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0676414) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Quad/Med, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.