MEDICARE: QUADRI-TECHNOLOGY LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1114104882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUADRI-TECHNOLOGY LTD

Provider Business Mailing Address
First Line	:	5000 SAINT BARNABAS RD
Second Line	:	COTTAGE 1
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-4608
Country	:	US
Telephone Number	:	301-238-4786
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 SAINT BARNABAS RD
Second Line	:	COTTAGE 1
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-4608
Country	:	US
Telephone Number	:	301-238-4786
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	URSULA BLAKE
Credential	:	MPA, CPM
Telephone Number	:	301-238-4786

Provider Enumeration Date	:	01/24/2008
Last Update Date	:	01/24/2008

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