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
J PABLO LAKE (VP OF REVENUE SERVICES)
(484) 676-7000
Entity
Organization
Contact information
Practice address
1370 CHURCH STREET, EXT NE, MARIETTA, GA 30060-1021
(404) 255-0015
Mailing address
1001 ADAMS AVE, MRGOV 2ND FLOOR, NORRISTOWN, PA 19403-2429
(484) 676-7000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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