Organization
SOLSTAS LAB PARTNERS GROUP LLC
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Other names
Southern Diagnostic Laboratories, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUEST DIAGNOSTICS INCORPORATED
Authorized official
WILSON R CONDE (VICE PRESIDENT)
(973) 520-2911
Entity
Organization
Contact information
Practice address
2732 7TH AVE S, BIRMINGHAM, AL 35233-3406
(205) 313-1240
(205) 313-1250
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
(610) 454-6146
(484) 676-5188
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
01D1015388
AL
291U00000X
Clinical Medical Laboratory
12279
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051554061
—
AL
01
—
51517309
BCBS OF AL PROVIDER NUMBE
AL
Enumeration date
05/11/2006
Last updated
04/24/2017
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