Healthcare Provider Details
I. General information
NPI: 1336977685
Provider Name (Legal Business Name): QUANTUM LABS & DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2024
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10380 FIELDCREST DR STE A
COVINGTON GA
30014-6801
US
IV. Provider business mailing address
10380 FIELDCREST DR STE A
COVINGTON GA
30014-6801
US
V. Phone/Fax
- Phone: 470-357-2222
- Fax:
- Phone: 470-357-2222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREEMAH
RASHIED
Title or Position: OWNER
Credential: FNP-BC, APRN
Phone: 470-357-2222