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) 454-6000
Entity
Organization
Contact information
Practice address
1250 8TH AVENUE, SUITE 115, FORT WORTH, TX 76104-4424
(817) 920-9069
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
45D0486182
TX
Other
Enumeration date
07/18/2006
Last updated
12/11/2018
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