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QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NPI 1568912962


NPI Information

NPI: 1568912962
Provider Name: QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 13D2076873

Address:
2001 S WOODRUFF AVE
SUITE 7
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-4826
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QUEST DIAGNOSTICS CLINICAL LABORATORIES INC is a clinical medical laboratory in Idaho Falls, ID. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NPI is 1568912962. The provider is registered as an organization entity type.

The provider's business location address is:

2001 S WOODRUFF AVE
SUITE 7
IDAHO FALLS, ID
ZIP 83404-374
Phone: (208) 552-4826

The provider's authorized official is J Pablo Lake .
The authorized official title is Vice President, Revenue Services and has the following contact phone number (484) 676-7014.

The CLIA number assigned to this NPI record is 13D2076873 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory13D2076873IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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