Provider Demographics
NPI:1891666483
Name:BIO QUEST LABORATORIES LLC
Entity type:Organization
Organization Name:BIO QUEST LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BRAVO ESPONDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-476-8670
Mailing Address - Street 1:2020 KINGSLEY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5181
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2020 KINGSLEY AVE STE 3
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5181
Practice Address - Country:US
Practice Address - Phone:904-467-0551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory