Quest Diagnostics Incorporated Mi

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D0664147 Issued in MI

Legal business name

QUEST DIAGNOSTICS INCORPORATED MI

Practice address

4100 Pier North Blvd
Flint, MI 48504-1487

Phone

(810) 230-1710

Fax

(810) 230-8602

NPI assigned

Apr 28, 2006

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

Charles Albert Bowles

Title

Vice President

Phone

(610) 454-4122

Specialties & licenses 1

Addresses

Part of

Questdiagnost Ic Inc

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1124085576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S COLLEGEVILLE RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262998",
            "telephone_number": "866-697-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PIER NORTH BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041487",
            "telephone_number": "810-230-1710",
            "fax_number": "810-230-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS INCORPORATED MI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-454-4122"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D0664147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Quarters
• Lama Naseem Qub, M.D.
• Bradley Quertermous Quertermous, BS, CMHP, QMHP
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Incorporated
• Amanda Quinn
• Tiffany Jean Quinn, LLMSW
• Tomeshia Quinn
• Khadija Qureshi, MD
• Tazeen Qureshi, MD

• Clinical Medical Laboratory in Flint, MI
• Providers in Flint, 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 Apr 30, 2018; 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.