QUEST DIAGNOSTICS LLC
NPI 1083954119
Clinical Medical Laboratory in Norwich, CT

Active since February 27, 2013CLIA Certified · 2 labs
111 SALEM TPKE, NORWICH, CT 06360(860) 934-0946 Get Directions Write a Review

NPPES record last updated: December 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2022, Feb 28, 2020, Dec 7, 2018 (3 updates tracked since 2018).

About Quest Diagnostics Llc NPPES

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

QUEST DIAGNOSTICS LLC (NPI 1083954119) is a healthcare organization registered as a clinical medical laboratory in Norwich, Connecticut and active in the NPI registry since February 2013. The organization holds 2 active CLIA laboratory certificates and lists Charles Albert Bowles, Vice President, as its authorized official.

NPPES Registry Identity

NPI1083954119
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameQUEST DIAGNOSTICS LLC
Location Address111 SALEM TPKENorwich, CT 06360-7403
Mailing Address1201 S Collegeville RdCollegeville, PA 19426-2998 · (866) 697-8378
Organization SubpartYesParent: Quest Diagnostics Incorporated
Authorized OfficialCharles Albert BowlesVice President · (610) 454-4122
Enumeration DateFebruary 27, 2013
Last NPPES UpdateDecember 10, 20223 updates tracked since enumeration
NPPES CertifiedDecember 10, 2022
✔ NPI 1083954119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
111 SALEM TPKE, Norwich, CT 06360

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quest Diagnostics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20071227000131Non-DME Part B · Independent Clinical LaboratoryDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 Compliance 07D1087302

Quest Diagnostics LLC · Norwich, CT
Active · expires Jul 21, 2027
CLIA Number07D1087302
Laboratory TypeIndependent
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorKatie Theriault
Laboratory Phone(860) 934-0946
Laboratory LocationQuest Diagnostics LLC111 Salem Tpke, Norwich, CT 06360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 07D2058038

Quest Diagnostics · Norwich, CT
Active · expires Oct 14, 2027
CLIA Number07D2058038
Laboratory TypeIndependent
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorKatie Theriault
Laboratory Phone(959) 247-0695
Laboratory LocationQuest Diagnostics42 Town St, Ste 1000B, Norwich, CT 06360
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
111 SALEM TPKE
NORWICH, CT 06360
Internal Medicine (Hematology & Oncology)
111 SALEM TPKE
NORWICH, CT 06360
Physical Therapist
111 SALEM TPKE
NORWICH, CT 06360
Pharmacist
111 SALEM TPKE
NORWICH, CT 06360
Physical Therapist
111 SALEM TPKE
NORWICH, CT 06360
Nurse Practitioner (Adult Health)
111 SALEM TPKE
NORWICH, CT 06360
Nurse Practitioner (Acute Care)
111 SALEM TPKE
NORWICH, CT 06360
Registered Nurse
111 SALEM TPKE, SUITE 7
NORWICH, CT 06360

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 Quest Diagnostics LLC's NPI number?

The NPI number for Quest Diagnostics LLC is 1083954119. It was assigned to this organization in the NPPES registry on February 27, 2013.

Where is Quest Diagnostics LLC located?

Quest Diagnostics LLC is located at 111 Salem Tpke, Norwich, CT 06360. The listed phone number is (860) 934-0946.

What is Quest Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Quest Diagnostics LLC enrolled in Medicare?

Yes. Quest Diagnostics LLC is registered in the Medicare PECOS enrollment system.

When is Quest Diagnostics LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Independent Clinical Laboratory) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Quest Diagnostics LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Quest Diagnostics LLC was last updated on December 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.