Quest Diagnostics Incorporated Mi

NPI #1053339002 in Berkley, Michigan

Provider Information

NPI Number
1053339002
Entity Type
Organization
Organization Name
Quest Diagnostics Incorporated Mi
Subpart
Yes (part of a larger organization)
Parent Organization
QUEST DIAGNOSTICS INCORPORATED
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 18, 2006
Last Updated
Sep 18, 2012

Practice Location

Address
1695 W 12 MILE RD
Address 2
STE 200
ZIP Code
48072-2182
Phone
(248) 398-1601

Authorized Official

Name
GERALD SCOTT CARTIER
Title
VP OF REVENUE SERVICES
Phone
(484) 676-7000

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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