Organization
SAN QUEST, LLC
Active
Other names
Accurate Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANDRES CANIPE (VICE PRESIDENT)
(864) 271-3301
Entity
Organization
Contact information
Practice address
1635 E NORTH ST, GREENVILLE, SC 29607-1374
(864) 271-3301
(864) 939-0288
Mailing address
1635 E NORTH ST, GREENVILLE, SC 29607-1374
(864) 271-3306
(864) 939-0288
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2039933
CLIA
SC
Enumeration date
06/30/2009
Last updated
05/01/2012
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