NPI 1407398712

Quest Diagnostics LLC

Organisation Clinical Medical Laboratory Hartford, CT

Practice location

Address: 100 Retreat Ave Suite 408, Hartford, CT 06106-2528
Phone: (860) 246-4688
Mailing address: 1201 S Collegeville Rd, Collegeville, PA 19426-2998

Authorised official

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

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 07D0957552 (CT)

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Registry record

NPI: 1407398712
Entity type: Organization
NPI issued: 17 Nov 2016
Record last updated: 7 Dec 2018

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.