Organization
QUEST DIAGNOSTICS LLC IL
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUEST DIAGNOSTICS INCORPORATED
Authorized official
CHARLES ALBERT BOWLES (VICE PRESIDENT)
(610) 454-6000
Entity
Organization
Contact information
Practice address
23030 STATE ROUTE 73 STE A, WEST PORTSMOUTH, OH 45663-8861
(740) 858-1063
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3676
(214) 932-8018
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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