Organization
ASSOCIATED CLINICAL LABORATORIES
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUEST DIAGNOSTICS INCORPORATED
Authorized official
DANIEL W GARTLAND (CEO)
(814) 461-2400
Entity
Organization
Contact information
Practice address
1526 PEACH ST, ERIE, PA 16501-2110
(814) 461-2400
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
39D0183896
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39D0183896
CLIA
—
Enumeration date
10/26/2006
Last updated
12/11/2018
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