Healthcare Provider Details
I. General information
NPI: 1427367358
Provider Name (Legal Business Name): QUALITY DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2010
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12001 SW 128TH CT SUITE # 102
MIAMI FL
33186-4664
US
IV. Provider business mailing address
12001 SW 128TH CT SUITE # 102
MIAMI FL
33186-4664
US
V. Phone/Fax
- Phone: 305-971-0003
- Fax: 305-971-0004
- Phone: 305-971-0003
- Fax: 305-971-0004
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225B00000X |
| Taxonomy | Pulmonary Function Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278P1004X |
| Taxonomy | Pulmonary Diagnostics Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 227900000X |
| Taxonomy | Registered Respiratory Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2279P1004X |
| Taxonomy | Pulmonary Diagnostics Registered Respiratory Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246XC2903X |
| Taxonomy | Vascular Specialist/Technologist Cardiovascular |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246XS1301X |
| Taxonomy | Sonography Specialist/Technologist Cardiovascular |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246ZE0600X |
| Taxonomy | Electroneurodiagnostic Specialist/Technologist |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471S1302X |
| Taxonomy | Sonography Radiologic Technologist |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471V0105X |
| Taxonomy | Vascular Sonography Radiologic Technologist |
| License Number | |
| License Number State | |
| # 10 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MIGUEL
ANGEL
FIGUEROA
Title or Position: PRESIDENT
Credential:
Phone: 305-971-0003