Quest Diagnostics LLC Il

NPI #1124541388 in Dearborn, Michigan

Provider Information

NPI Number: 1124541388
Entity Type: Organization
Organization Name: Quest Diagnostics LLC Il
Subpart: Yes (part of a larger organization)
Parent Organization: QUEST DIAGNOSTICS INCORPORATED
Primary Specialty: Clinical Medical Laboratory
Enumeration Date: Jul 19, 2017
Last Updated: Jul 19, 2017

Practice Location

Address: 3133 S TELEGRAPH RD STE B
City: Dearborn
State: Michigan
ZIP Code: 48124-3472
Phone: (248) 321-9044

Authorized Official

Name: WILSON R CONDE
Title: VICE PRESIDENT
Phone: (973) 520-2911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X	Primary

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