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General NPI Number Information
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NPI Number | 1407892243
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Entity Type | Organization
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Legal Business Name | QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 12/25/2022
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Provider Practice Location Address
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Address Line | 525 MAINSTREAM DR
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City | NASHVILLE
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State | TN
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Zip | 37228-1208
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Country | US
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Telephone | 866-697-8378
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Fax | 615-687-2110
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Provider Business Mailing Address
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Address Line | 1201 S COLLEGEVILLE RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-2998
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Country | US
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Telephone | 866-697-8378
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHARLES ALBERT BOWLES
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Credential |
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Telephone | 610-454-4122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 44D0308409
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License Number State | TN
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