ID OF QUINCY LLC
NPI 1053088377
Dermatology in Quincy, MA
About Id Of Quincy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ID OF QUINCY LLC (NPI 1053088377) is a healthcare organization registered as a dermatology in Quincy, Massachusetts and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2028, maintains a secondary practice location in Plymouth, and lists Jennifer T Haley, Authorized Group Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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 Compliance 22D2007956
Id Of Quincy · Plymouth, MAOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUINCY, MA 02169
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 Id Of Quincy LLC's NPI number?
The NPI number for Id Of Quincy LLC is 1053088377. It was assigned to this organization in the NPPES registry on August 25, 2021.
Where is Id Of Quincy LLC located?
Id Of Quincy LLC is located at 104 Quarry St Ste 2, Quincy, MA 02169. The listed phone number is (617) 472-6764.
What is Id Of Quincy LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Id Of Quincy LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 22D2007956) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Id Of Quincy LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.