Organization
UNILAB CORPORATION
Active
Parent organization
UNILAB CORPORATION DBA QUEST DIAGNOSTICS
Other names
Quest Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNILAB CORPORATION DBA QUEST DIAGNOSTICS
Authorized official
CHARLES ALBERT BOWLES (VICE PRESIDENT)
(610) 454-6000
Entity
Organization
Contact information
Practice address
857 W CHILDS AVE, MERCED, CA 95341-6862
(209) 725-0658
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
(866) 697-8378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
05D0644027
CA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAB44027F
MEDI-CAL
—
Enumeration date
02/05/2007
Last updated
12/11/2018
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