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General NPI Number Information
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NPI Number | 1568593077
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Entity Type | Organization
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Legal Business Name | QUEST DIAGNOSTICS OF PUERTO RICO INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | URB VILLA BLANCA PR 1 KM 34.9 BO BAIROA
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City | CAGUAS
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State | PR
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Zip | 00725-2641
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Country | US
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Telephone | 787-743-4607
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 MONROE BLVD
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City | NORRISTOWN
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State | PA
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Zip | 19403-2429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF BILLING
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Name | G SCOTT CARTIER
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Credential |
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Telephone | 484-676-7000
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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 | 40D0667748
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License Number State | PR
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