Organization
UNILAB CORPORATION
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Other names
Quest Diagnostics
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
1401 SPANOS CRT, STE 107B, MODESTO, CA 95355-2812
(209) 576-8006
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
(866) 697-8378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
05D0644037
CA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
12/11/2018
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