Organization
SOLSTAS LAB PARTNERS GROUP LLC
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUEST DIAGNOSTICS INCORPORATED
Authorized official
WILSON CONDE (VICE PRESIDENT)
(800) 227-0446
Entity
Organization
Contact information
Practice address
2906 JULIA DR, VALDOSTA, GA 31602-1435
(229) 244-4468
(229) 249-8191
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19146-2998
(610) 454-6147
(484) 676-5309
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
092002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057164A
—
GA
05
—
030253800
—
FL
05
—
065023369
—
AL
01
—
52183605
BLUE CROSS BLUE SHIELD GA
GA
01
—
600-27858
BLUE CROSS BLUE SHIELD AL
AL
05
—
L00065
—
SC
01
—
L8165
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
06/13/2005
Last updated
04/11/2017
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