Organization
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
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) 454-4000
Entity
Organization
Contact information
Practice address
8890 SALROSE LN STE 106, FORT MYERS, FL 33912-2085
(239) 313-4550
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
(866) 697-8378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D09923945
CLIA
FL
Enumeration date
07/18/2006
Last updated
12/02/2022
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