OrganizationQuentin Medical LabClinical Medical LaboratoryLaboratoriesPractice Address140 58th St, Ste 1e, Brooklyn, NY 11220-2562(718) 492-2600PECOS EnrollmentBased on the most recent information from CMS, provider Quentin Medical Lab does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1003819418Provider TypeOrganizationFull NameQuentin Medical LabSubpartNoEnumeration Date5/31/2005Last Updated9/8/2008Contact InformationPractice LocationPractice Address140 58th St, Ste 1e, Brooklyn, NY 11220-2562Phone(718) 492-2600FaxUnlisted FaxMailing LocationMailing Address140 58th St, Ste 1e, Brooklyn, NY 11220-2562Phone(718) 492-2600FaxUnlisted FaxAuthorized OfficialNamePrendimano, Michael (Vice President Of Operations)Phone(718) 492-2600Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicense33D0147515New YorkProvider IdentifiersIDDescriptionIssuerIDN240153DescriptionOtherIssuerWELLCARENew YorkIDNY3961DescriptionOtherIssuerHEALTHNETNew YorkID000099801DescriptionOtherIssuerAMERICHOICENew YorkID10200466DescriptionOtherIssuerAMERIGROUPNew YorkID01794774DescriptionMedicaidIssuerUnlistedNew York