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NPI Code Detail

MEDICARE: QUEST DIAGNOSTICS MASSACHUSETTS LLC

MEDICARE: QUEST DIAGNOSTICS MASSACHUSETTS LLC
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 : 1942553607
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEST DIAGNOSTICS MASSACHUSETTS LLC
Provider Business Mailing Address
First Line : 1201 S COLLEGEVILLE RD
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-2998
Country : US
Telephone Number : 484-676-7000
Fax Number : 484-676-5309
Provider Business Practice Location Address
First Line : 4 BROTHERTON WAY
Second Line :
City : AUBURN
State : MA
Zip : 01501-2684
Country : US
Telephone Number : 508-832-5005
Fax Number :
Authorized Official
Title or Position : DIRECTOR, FINANCE
Name : DAVID MICHAEL BETZ
Credential :
Telephone Number : 412-920-7774
Provider Enumeration Date : 10/18/2012
Last Update Date : 12/09/2022

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Directions to “QUEST DIAGNOSTICS MASSACHUSETTS LLC ” Practice Location

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