Provider Demographics
NPI:1750652863
Name:IN-QUEST MEDICAL RESEARCH, LLC
Entity Type:Organization
Organization Name:IN-QUEST MEDICAL RESEARCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CRANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN FNP-BC
Authorized Official - Phone:770-903-0148
Mailing Address - Street 1:6330 PRIMROSE HILL CT
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4544
Mailing Address - Country:US
Mailing Address - Phone:770-903-0148
Mailing Address - Fax:770-903-0175
Practice Address - Street 1:6330 PRIMROSE HILL CT
Practice Address - Street 2:SUITE 208
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4544
Practice Address - Country:US
Practice Address - Phone:770-903-0148
Practice Address - Fax:770-903-0175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch