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NPI 1497773022

NPI 1497773022 : QUEST DIAGNOSTICS CLINICAL LABORATORIES INC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1497773022
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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     |    07/18/2006
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    2170 WOODWARD ST 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78744-1038
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    Country              |    US
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    Telephone            |    737-335-2318
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    Fax                  |    737-335-2319
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Provider Business Mailing Address
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    Address Line         |    14275 MIDWAY RD STE 400 
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75001-3661
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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    |    SR. VICE PRESIDENT
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    Name                 |     LEAH D TIMMERMAN 
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    Credential           |    
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    Telephone            |    973-520-2700
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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       |    
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    License Number State |    
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