Organization
QUEST DIAGNOSTICS OF PUERTO RICO INC
Active
Parent organization
QUEST DIAGNOSTICS INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUEST DIAGNOSTICS INCORPORATED
Authorized official
J PABLO LAKE (VP REVENUE SERVICES)
(484) 676-7737
Entity
Organization
Contact information
Practice address
210 ROAD 865 INTERIOR, BARRIO CANDELARIA, TOA BAJA, PR 00949-5710
(787) 474-2900
(787) 765-5663
Mailing address
1001 ADAMS AVE, MRGOV 2ND FLOOR, NORRISTOWN, PA 19403-2429
(484) 676-7000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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