NPI Code Detail JSON Logo

1821123415 NPI number — Q-METRX, INC.

NPI Number: 1821123415
Health Care Provider/Practitioner: Q-METRX, INC.

Information about “1821123415” NPI (Q-METRX, INC.) exists in 1821123415 in HTML format HTML  |  1821123415 in plain Text format TXT  |  1821123415 in PDF (Portable Document Format) PDF  |  1821123415 in an XML format XML  formats.

NPI Number : 1821123415 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821123415",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "Q-METRX, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1612 W OLIVE AVE",
    "SecondLineMailingAddress": "SUITE 301",
    "MailingAddressCityName": "BURBANK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91506-2461",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-563-5409",
    "MailingAddressFaxNumber": "818-842-2043",
    "FirstLinePracticeLocationAddress": "1612 W OLIVE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 301",
    "PracticeLocationAddressCityName": "BURBANK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91506-2461",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-563-5409",
    "PracticeLocationAddressFaxNumber": "818-842-2043",
    "EnumerationDate": "02/22/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSTONE",
    "AuthorizedOfficialFirstName": "JACK",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRESIDENT CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D.",
    "AuthorizedOfficialTelephoneNumber": "818-563-5409",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "293D00000X",
        "TaxonomyName": "Physiological Laboratory",
        "LicenseNumber": "BT79339",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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