NPI 1174569909

Quest Diagnostics LLC

Organisation Clinical Medical Laboratory Wallingford, CT

Practice location

Address: 3 Sterling Dr, Wallingford, CT 06492-5915
Phone: (800) 982-6810
Mailing address: 14275 Midway Rd STE 400, Addison, TX 75001-3661

Authorised official

Name: Charles Albert Bowles
Title: Sr. Vice President
Phone: (610) 454-4122

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 07D0093126 (CT)

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Registry record

NPI: 1174569909
Entity type: Organization
NPI issued: 21 Jun 2006
Record last updated: 12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.