MEDICARE: QUALITY PICC SERVISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor		MI

General Provider Information

NPI Number	:	1750541496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY PICC SERVISES INC

Provider Business Mailing Address
First Line	:	2162 KENNEDY DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2900
Country	:	US
Telephone Number	:	248-953-0526
Fax Number	:

Provider Business Practice Location Address
First Line	:	2162 KENNEDY DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2900
Country	:	US
Telephone Number	:	248-953-0526
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MALAZ ALATASSI
Credential	:	MD
Telephone Number	:	248-953-0526

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	06/16/2008

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Directions to “QUALITY PICC SERVISES INC ” Practice Location

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