QUEST DIAGNOSTICS LLC IL
NPI 1851901466
Pathology - Anatomic Pathology & Clinical Pathology in Beaver Dam, WI

Q: What is the provider's specialty?

The provider's specialty is Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

Active since August 07, 2020

707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(866) 697-8378 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Quest Diagnostics Llc Il NPPES

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

QUEST DIAGNOSTICS LLC IL (NPI 1851901466) is a healthcare organization registered as an anatomic pathology & clinical pathology in Beaver Dam, Wisconsin and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Portage and lists Charles Albert Bowles, Vice President, as its authorized official.

NPPES Registry Identity

NPI1851901466

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameQUEST DIAGNOSTICS LLC IL

Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027

Mailing Address14275 Midway Rd Ste 400Addison, TX 75001-3614 · (214) 932-8018 · Fax (610) 271-4245

Phone(866) 697-8378

Organization SubpartYesParent: Quest Diagnostics Incorporated

Authorized OfficialCharles Albert BowlesVice President · (610) 454-6000

Enumeration DateAugust 7, 2020

NPPES CertifiedAugust 7, 2020

✔ NPI 1851901466 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.

707 S UNIVERSITY AVE, Beaver Dam, WI 53916

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Secondary Practice Location 1

Location 12817 New Pinery RdPortage, WI 53901-9240 · Phone (866) 697-8378

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 52D1101784

Quest Diagnostics LLC · Beaver Dam, WI

Expired · May 23, 2026

CLIA Number52D1101784

Laboratory TypeIndependent

Certificate Effective DateMay 24, 2024

Certificate Expiration DateMay 23, 2026

Laboratory DirectorDr. Laeekha Ali

Laboratory Phone(920) 210-1781

Laboratory LocationQuest Diagnostics LLC130 Warren Street, Bldg C, Beaver Dam, WI 53916

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 20

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

DR. JEFFREY HOWARD LOVELL M.D.

Emergency Medicine