MEDICARE: SUREQUEST DIAGNOSTICS

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1568237998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUREQUEST DIAGNOSTICS

Provider Business Mailing Address
First Line	:	9494 SOUTHWEST FWY STE 360
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1425
Country	:	US
Telephone Number	:	713-900-1770
Fax Number	:	713-900-1810

Provider Business Practice Location Address
First Line	:	9494 SOUTHWEST FWY STE 360
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1425
Country	:	US
Telephone Number	:	713-900-1770
Fax Number	:	713-900-1810

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	SUE D KINCER
Credential	:
Telephone Number	:	813-928-8394

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	04/06/2026

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