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NPI Code Detail

MEDICARE: QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

MEDICARE: QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
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 : 1326763970
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Provider Business Mailing Address
First Line : 1201 S COLLEGEVILLE RD
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-2998
Country : US
Telephone Number : 214-932-8018
Fax Number : 610-271-4245
Provider Business Practice Location Address
First Line : 110 N RUBEY DR UNIT 200A
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3201
Country : US
Telephone Number : 303-376-0975
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : CHARLES ALBERT BOWLES
Credential :
Telephone Number : 610-454-6000
Provider Enumeration Date : 10/06/2022
Last Update Date : 10/06/2022

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Directions to “QUEST DIAGNOSTICS CLINICAL LABORATORIES INC ” Practice Location

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