Organization
QUEST DIAGNOSTICS LLC
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) 454-4122
Entity
Organization
Contact information
Practice address
100 RETREAT AVE, SUITE 408, HARTFORD, CT 06106-2528
(860) 246-4688
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
07D0957552
CT
Other
Enumeration date
11/17/2016
Last updated
12/07/2018
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