Healthcare Provider Details

I. General information

NPI: 1447332325
Provider Name (Legal Business Name): QUALITY IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31442 HARTFORD DR
WARREN MI
48088-7307
US

IV. Provider business mailing address

31442 HARTFORD DR
WARREN MI
48088
US

V. Phone/Fax

Practice location:
  • Phone: 586-218-8329
  • Fax: 586-218-8319
Mailing address:
  • Phone: 586-218-8329
  • Fax: 586-218-8319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number27281
License Number StateMI

VIII. Authorized Official

Name: DR. PETER NEFCY
Title or Position: MEDICAL DIRECTOR
Credential: PHD MD
Phone: 888-549-5580