Quest Diagnostics Incorporated Mi

NPI 1053339002 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1053339002
Enumeration Date 07/18/2006
Last Updated 09/18/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GERALD SCOTT GERALD
Position VP OF REVENUE SERVICES
Phone (248) 398-1601
Fax
Practice Location
1695 W 12 MILE RD
STE 200
BERKLEY MI, 48072-2182, US
Phone (248) 398-1601
Fax
Business Location
1001 ADAMS AVE
MRGOV 2ND FLOOR
NORRISTOWN PA, 19403-2429, US
Phone (484) 676-7000
Fax (484) 676-5309
Toxanomy
Taxonomy Code 291U00000X
License State Michigan
License Number 23D0702537
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According to our database, Quest Diagnostics Incorporated Mi NPI is 1053339002, taxonomy code is 291U00000X and license number is 23D0702537, license state is located at Michigan. Quest Diagnostics Incorporated Mi physically located at 1695 W 12 Mile Rd, Berkley MI, 48072-2182. NPI Number 1033115704 has the healthcare provider type.

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1053339002 NPI number is provided on an as is basis without warranty of any kind. 1053339002 is maintained by the National Plan & Provider Enumeration System. The contents of Quest Diagnostics Incorporated Mi are for informational purposes only.