QUINCY CLINICAL LABORATORY SERVICES SC
NPI 1114773272
Pathology - Anatomic Pathology & Clinical Pathology in Quincy, IL

Active since April 29, 2024
1005 BROADWAY ST, QUINCY, IL 62301(217) 223-1200 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Quincy Clinical Laboratory Services Sc NPPES

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

QUINCY CLINICAL LABORATORY SERVICES SC (NPI 1114773272) is a healthcare organization registered as an anatomic pathology & clinical pathology in Quincy, Illinois and active in the NPI registry since April 2024. The organization lists Rex Schulz, President, as its authorized official.

NPPES Registry Identity

NPI1114773272
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameQUINCY CLINICAL LABORATORY SERVICES SC
Location Address1005 BROADWAY STQuincy, IL 62301-2834
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Organization SubpartNo
Authorized OfficialRex SchulzPresident · (800) 288-8325
Enumeration DateApril 29, 2024
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1114773272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1005 BROADWAY ST, Quincy, IL 62301

Other Identifiers 1

Medicaid1114773272IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quincy Clinical Laboratory Services Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Quincy Clinical Laboratory Services Sc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Pathology
NPI 1700393329
1005 BROADWAY ST
Quincy, IL 62301
(281) 620-6197
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1255716403
1005 BROADWAY ST
Quincy, IL 62301
(217) 223-8400
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1780707703
1005 BROADWAY ST
Quincy, IL 62301
(217) 223-8400
✔ PECOSSame address
Pathology
NPI 1174869952
1005 BROADWAY ST
Quincy, IL 62301
(217) 222-0954
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1801312129
1005 BROADWAY ST
Quincy, IL 62301
(217) 223-8400
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Quincy Clinical Laboratory Services Sc's NPI number?

The NPI number for Quincy Clinical Laboratory Services Sc is 1114773272. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Quincy Clinical Laboratory Services Sc located?

Quincy Clinical Laboratory Services Sc is located at 1005 Broadway St, Quincy, IL 62301. The listed phone number is (217) 223-1200.

What is Quincy Clinical Laboratory Services Sc's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Quincy Clinical Laboratory Services Sc enrolled in Medicare?

Yes. Quincy Clinical Laboratory Services Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quincy Clinical Laboratory Services Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Pathology, reassign their Medicare billing to Quincy Clinical Laboratory Services Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Quincy Clinical Laboratory Services Sc was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.