Quest Diagnostics Clinical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D099833 Issued in MO

Legal business name

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

Practice address

1351 Jefferson St
Suite 120
Washington, MO 63090-6449

Phone

(636) 390-4114

NPI assigned

Feb 6, 2007

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

Questdiagnost Ic Inc

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1568501633",
    "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": "1351 JEFFERSON ST",
            "address_2": "SUITE 120",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906449",
            "telephone_number": "636-390-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST DIAGNOSTICS CLINICAL LABORATORIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-09-21",
        "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": "MO",
            "license": "26D099833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Washington, MO
• Providers in Washington, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.