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NPI 1225056880

NPI 1225056880 : QUALITY PLUS DIAGNOSTIC SERVICES, INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1225056880
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUALITY PLUS DIAGNOSTIC SERVICES, INC 
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Dates
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    Enumeration Date     |    07/18/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    3470 WILSHIRE BLVD STE 636 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90010-3917
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    Country              |    US
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    Telephone            |    213-388-9000
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    Fax                  |    213-388-9003
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Provider Business Mailing Address
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    Address Line         |    3470 WILSHIRE BLVD STE 636 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90010-3917
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    Country              |    US
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    Telephone            |    213-388-9000
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    Fax                  |    213-388-9003
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KRISTINE  MINASYAN 
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    Credential           |    
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    Telephone            |    213-388-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    
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    License Number State |    
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