MEDICARE: QUEST DIAGNOSTICS OF PENNSYLVANIA 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
1	291U00000X	Clinical Medical Laboratory		PA

General Provider Information

NPI Number	:	1578520946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEST DIAGNOSTICS OF PENNSYLVANIA INC

Provider Business Mailing Address
First Line	:	2750 MONROE BLVD
Second Line	:	MR200
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-2429
Country	:	US
Telephone Number	:	484-676-7331
Fax Number	:	484-676-7180

Provider Business Practice Location Address
First Line	:	875 GREENTREE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3508
Country	:	US
Telephone Number	:	800-295-6598
Fax Number	:

Authorized Official
Title or Position	:	VP NATIONAL BILLING
Name	:	G. SCOTT CARTIER
Credential	:
Telephone Number	:	484-676-7731

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	08/22/2020

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