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) 454-6000
Entity
Organization
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(866) 697-8378
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3614
(214) 932-8018
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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