=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215831664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUALITY DIAGNOSTIC LABS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2026
-----------------------------------------------------
Last Update Date | 10/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 217 SUTTON ST
-----------------------------------------------------
City | NORTH ANDOVER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01845-1639
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 351-220-0898
-----------------------------------------------------
Fax | 978-655-1104
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 217 SUTTON ST
-----------------------------------------------------
City | NORTH ANDOVER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01845-1639
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 351-220-0898
-----------------------------------------------------
Fax | 978-655-1104
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JAMES NYOIKE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 351-220-0898
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------