Organization
PHENOPATH LABORATORIES PLLC
Active
Organization
PHENOPATH LABORATORIES PLLC
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUEST DIAGNOSTICS INCORPORATED
Authorized official
DARREN THOMAS WHEELER (PRESIDENT)
(702) 733-7866
Entity
Organization
Contact information
Practice address
30766 BELLE MAISON, LAGUNA NIGUEL, CA 92677-5518
(206) 374-9000
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3614
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/03/2023
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