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General NPI Number Information
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NPI Number | 1356913446
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Entity Type | Organization
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Legal Business Name | QUICKMED DIAGNOSTIC INC.
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 03/11/2023
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Provider Practice Location Address
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Address Line | 7600 LEESBURG PIKE STE 110
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2004
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Country | US
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Telephone | 571-534-3973
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Fax | 571-470-8259
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Provider Business Mailing Address
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Address Line | 7600 LEESBURG PIKE STE 110
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2004
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Country | US
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Telephone | 571-534-3973
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Fax | 571-470-8259
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MICHAEL GEORGE SAVVIDES
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Credential |
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Telephone | 310-905-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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