Healthcare Provider Details

I. General information

NPI: 1841366184
Provider Name (Legal Business Name): QUALITY DIAGNOSTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 NW 72ND AVE
MIAMI FL
33122
US

IV. Provider business mailing address

3360 NW 72ND AVE
MIAMI FL
33122
US

V. Phone/Fax

Practice location:
  • Phone: 305-599-2762
  • Fax: 305-599-2768
Mailing address:
  • Phone: 305-599-2762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: ORLANDO FLORES
Title or Position: PRESIDENT
Credential:
Phone: 305-599-2762