Provider Demographics
NPI:1346233277
Name:SOLSTAS LAB PARTNERS GROUP LLC
Entity Type:Organization
Organization Name:SOLSTAS LAB PARTNERS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:BOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-454-4122
Mailing Address - Street 1:1201 S COLLEGEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2998
Mailing Address - Country:US
Mailing Address - Phone:866-697-8378
Mailing Address - Fax:
Practice Address - Street 1:4380 FEDERAL DR
Practice Address - Street 2:STE 100
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8148
Practice Address - Country:US
Practice Address - Phone:336-664-6100
Practice Address - Fax:336-852-0003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUEST DIAGNOSTICS INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-25
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34D0932172291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2552569Medicare ID - Type Unspecified
VA190001269Medicare ID - Type Unspecified
TN3404326Medicare ID - Type Unspecified
NC2552569Medicare ID - Type Unspecified
TN4490730Medicaid
NC7001170Medicaid
GA408825862AMedicaid
VA190001269Medicare ID - Type Unspecified
SCL00126Medicaid
WV3810001579Medicaid
KY37000841Medicaid
VA004991265Medicaid
TN44D0311062OtherCLIA HOLSTON VALLEY MEDIC
TN44D0711124OtherCLIA HAWKINS COUNTY MEMOR
TN3404326Medicare ID - Type Unspecified
NC34D0956369OtherCLIA HIGH POINT REGIONAL
TN4490730Medicaid
NC34D1080247OtherCLIA MENDENDALL OAKS
SCL00126Medicaid
NC34D0958347OtherCLIA WESLEY LONG HOSP
NC34D0995893OtherCLIA ANNIE PENN HOSP
VA190001269Medicare ID - Type Unspecified