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
WILSON R CONDE (VICE PRESIDENT)
(973) 520-2911
Entity
Organization
Contact information
Practice address
3133 S TELEGRAPH RD STE B, DEARBORN, MI 48124-3472
(248) 321-9044
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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