Lab One LLC

NPI #1639417140 in Fairfield, Illinois

Provider Information

NPI Number
1639417140
Entity Type
Organization
Organization Name
Lab One LLC
Subpart
Yes (part of a larger organization)
Parent Organization
QUEST DIAGNOSTICS INCORPORATED
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 18, 2013
Last Updated
Dec 11, 2018

Practice Location

Address
209 NW 11TH ST
ZIP Code
62837-1218
Phone
(618) 842-4470

Authorized Official

Name
CHARLES ALBERT BOWLES
Title
VICE PRESIDENT
Phone
(610) 454-6000

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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