Quest Diagnostics LLC Il

NPI #1851805915 in Blaine, Minnesota

Provider Information

NPI Number
1851805915
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
Nov 28, 2017
Last Updated
Oct 26, 2018

Practice Location

Address
11091 ULYSSES ST NE STE 100
City
Blaine
ZIP Code
55434-4238
Phone
(612) 879-1000

Authorized Official

Name
CHARLES ALBERT BOWLES
Title
VICE PRESIDENT
Phone
(610) 454-4122

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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