QUANTUM FORMULA DIAGNOSTICS, LLC
NPI 1164017422
Clinical Medical Laboratory in Dallas, TX

Q: What is Quantum Formula Diagnostics, LLC's NPI number?

The NPI number for Quantum Formula Diagnostics, LLC is 1164017422. It was assigned to this organization in the NPPES registry on March 8, 2021.

Q: What is Quantum Formula Diagnostics, LLC's specialty?

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

Active since March 08, 2021CLIA 45D2148517 · Accreditation

1451 EMPIRE CENTRAL DR STE 100A, DALLAS, TX 75247(214) 675-4774(214) 580-2630 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Jul 13, 2021, Mar 8, 2021 (3 updates tracked since 2021).

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About Quantum Formula Diagnostics, Llc NPPES

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

QUANTUM FORMULA DIAGNOSTICS, LLC (NPI 1164017422) is a healthcare organization registered as a clinical medical laboratory in Dallas, Texas and active in the NPI registry since March 2021. The organization holds an CLIA Accreditation certificate valid through April 30, 2027 and lists Alun J Malone, Managing Member / Owner, as its authorized official.

NPPES Registry Identity

NPI1164017422

Entity TypeOrganization

Primary Taxonomy291U00000X

Legal Business NameQUANTUM FORMULA DIAGNOSTICS, LLC

Location Address1451 EMPIRE CENTRAL DR STE 100ADallas, TX 75247-4139

Mailing Address1451 Empire Central Dr Ste 100aDallas, TX 75247-4139 · (214) 675-4774 · Fax (214) 594-0379

Phone(214) 675-4774

Fax(214) 580-2630

Organization SubpartNo

Authorized OfficialAlun J MaloneManaging Member / Owner · (214) 675-4774

Enumeration DateMarch 8, 2021

Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1164017422 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.

1451 EMPIRE CENTRAL DR STE 100A, Dallas, TX 75247

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by October 31, 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

StateTexasEnrollment IDO20211011000889Non-DME Part B · Independent Clinical LaboratoryDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 45D2148517

Quantum Formula Diagnostics, LLC · Dallas, TX

Active · expires Apr 30, 2027

CLIA Number45D2148517

Laboratory TypeIndependent

Certificate Effective DateMay 1, 2025

Certificate Expiration DateApril 30, 2027

Laboratory DirectorDr. Mohammad T. Ourani

Laboratory Phone(214) 675-4774

Laboratory LocationQuantum Formula Diagnostics, LLC1451 Empire Central Suite 100A, Dallas, TX 75247

CLIA data matches this NPI record on: Name Phone

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

5,175 services318 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

1,947 services1,155 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

1,706 services1,040 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

1,414 services314 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

396 services315 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

338 services274 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

335 services275 patients

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

121 services100 patients

Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique 87641

A detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.

78 services70 patients

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

45 services45 patients

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

31 services29 patients

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 Quantum Formula Diagnostics, LLC's NPI number?

The NPI number for Quantum Formula Diagnostics, LLC is 1164017422. It was assigned to this organization in the NPPES registry on March 8, 2021.

Where is Quantum Formula Diagnostics, LLC located?

Quantum Formula Diagnostics, LLC is located at 1451 Empire Central Dr Ste 100A, Dallas, TX 75247. The listed phone number is (214) 675-4774.

What is Quantum Formula Diagnostics, LLC's specialty?

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

Is Quantum Formula Diagnostics, LLC enrolled in Medicare?

Yes. Quantum Formula Diagnostics, LLC is registered in the Medicare PECOS enrollment system.

When is Quantum Formula 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 (Texas, Independent Clinical Laboratory) is due for revalidation by October 31, 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 Quantum Formula Diagnostics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2148517) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Quantum Formula Diagnostics, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Quantum Formula Diagnostics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quantum Formula Diagnostics, LLC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.