Organization
QUEST DIAGNOSTICS LLC IL
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
11091 ULYSSES ST NE STE 100, BLAINE, MN 55434-4238
(612) 879-1000
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
—
—
Other
Enumeration date
11/28/2017
Last updated
10/26/2018
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