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NPI Code Detail

MEDICARE: QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

MEDICARE: QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1023661634
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Provider Business Mailing Address
First Line : 14275 MIDWAY RD STE 400
Second Line :
City : ADDISON
State : TX
Zip : 75001-3661
Country : US
Telephone Number : 866-697-8378
Fax Number : 610-271-4245
Provider Business Practice Location Address
First Line : 10600 INDUSTRIAL DR
Second Line :
City : MINDEN
State : LA
Zip : 71055-5105
Country : US
Telephone Number : 866-697-8378
Fax Number :
Authorized Official
Title or Position : SR. VICE PRESIDENT
Name : LEAH D TIMMERMAN
Credential :
Telephone Number : 973-520-2700
Provider Enumeration Date : 07/23/2019
Last Update Date : 11/20/2024

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Directions to “QUEST DIAGNOSTICS CLINICAL LABORATORIES INC ” Practice Location

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