Healthcare Provider Details

I. General information

NPI: 1497923072
Provider Name (Legal Business Name): QUALITY DIAGNOSTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MEMORIAL HWY SUITE 2-8
NEW ROCHELLE NY
10801
US

IV. Provider business mailing address

175 MEMORIAL HWY SUITE 2-8
NEW ROCHELLE NY
10801
US

V. Phone/Fax

Practice location:
  • Phone: 914-355-2032
  • Fax: 914-355-2032
Mailing address:
  • Phone: 914-355-2032
  • Fax: 914-355-2032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. CESAR MALPARTIDA
Title or Position: OWNER
Credential:
Phone: 914-355-2032