Healthcare Provider Details

I. General information

NPI: 1265360663
Provider Name (Legal Business Name): QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LA RUE FRANCE
LAFAYETTE LA
70508-3104
US

IV. Provider business mailing address

4770 REGENT BLVD
IRVING TX
75063-2445
US

V. Phone/Fax

Practice location:
  • Phone: 337-377-9710
  • Fax:
Mailing address:
  • Phone:
  • Fax: 610-271-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LEAH D TIMMERMAN
Title or Position: VP
Credential:
Phone: 973-520-2700