Quest Diagnostics Incorporated Mi

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUEST DIAGNOSTICS INCORPORATED MI

Practice address

5680 Bow Pointe Dr
Clarkston, MI 48346-5407

Phone

(248) 620-9600

NPI assigned

Jun 23, 2011

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerald Scott Cartier

Title

VP of Revenue Services

Phone

(484) 676-7000

Specialties & licenses 1

Addresses

Part of

Corning Nichols

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1033405410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ADAMS AVE MRGOV",
            "address_2": "2ND FLOOR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032429",
            "telephone_number": "484-676-7000",
            "fax_number": "484-676-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 BOW POINTE DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465407",
            "telephone_number": "248-620-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS INCORPORATED MI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2011-06-23",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "CARTIER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VP OF REVENUE SERVICES",
        "authorized_official_telephone_number": "484-676-7000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.