VISION QUEST MEDICAL CENTER, PA
NPI 1003873852
Durable Medical Equipment & Medical Supplies in Boise, ID
About Vision Quest Medical Center, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION QUEST MEDICAL CENTER, PA (NPI 1003873852) is a healthcare organization registered as a durable medical equipment & medical supplies in Boise, Idaho and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Jacob A Mong, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Group Practice 1
CLIA Laboratory Certificates CMS CLIA 2
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 Waiver 13D2155004
Vision Quest Medical Center PA · Caldwell, IDCertificate of Waiver 13D1087242
Vision Quest Medical Center · Boise, IDOther Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vision Quest Medical Center, PA's NPI number?
The NPI number for Vision Quest Medical Center, PA is 1003873852. It was assigned to this organization in the NPPES registry on April 26, 2006.
Where is Vision Quest Medical Center, PA located?
Vision Quest Medical Center, PA is located at 5680 W Gage St, Boise, ID 83706. The listed phone number is (208) 377-3937.
What is Vision Quest Medical Center, PA's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Does Vision Quest Medical Center, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2155004) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vision Quest Medical Center, PA was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Vision Quest Medical Center, Pa · NPI 1003873852
Durable Medical Equipment & Medical Supplies organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1003873852 (Entity type: Organization)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Organization subpart:** No
- **Authorized official:** Jacob Mong, PRESIDENT
## Practice location
- **Address:** 5680 W GAGE ST, Boise, ID 83706-1326
- **Phone:** (208) 377-3937 · **Fax:** (208) 377-9455
## Record status
- **NPPES last updated:** November 21, 2017
- **Other identifiers:** Medicaid 807072300 (ID); Medicare NSC 0857720001; Medicaid 807072200 (ID); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003873852) · Data from the CMS NPPES public registry.