Quickmed Diagnostic, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUICKMED DIAGNOSTIC, INC.

Practice address

9415 Culver Blvd
Culver City, CA 90232-2616

Phone

(310) 905-6441

Fax

(213) 754-6669

NPI assigned

Jan 5, 2021

Last updated

Aug 27, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chyina Peterson

Title

Director of Billing

Phone

(678) 313-1027

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Quickmed Diagnostic, Inc.

  • Clinical Medical Laboratory
  • Culver City, CA
  • NPI 1356913446
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chet Tharpe Jr., M.D.

  • Allergy Physician
  • Venice, CA
  • NPI 1053541581
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1073101028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 CULVER BLVD",
            "address_2": "PMB#202",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322616",
            "telephone_number": "310-905-6441",
            "fax_number": "213-754-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322616",
            "telephone_number": "310-905-6441",
            "fax_number": "213-754-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1981 Chain Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Tysons",
            "state": "VA",
            "postal_code": "221024407",
            "country_code": "US",
            "telephone_number": "310-905-6441",
            "fax_number": "213-559-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Democracy Blvd Spc 1118",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171073",
            "country_code": "US",
            "telephone_number": "310-905-6441",
            "fax_number": "213-559-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11502 Middlebrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208762709",
            "country_code": "US",
            "telephone_number": "310-697-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11500 Middlebrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208762709",
            "country_code": "US",
            "telephone_number": "310-905-6441",
            "fax_number": "213-559-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8030 Georgia Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104900",
            "country_code": "US",
            "telephone_number": "310-697-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Brooks Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913226",
            "country_code": "US",
            "telephone_number": "310-905-6441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 Annapolis Mall",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017604",
            "country_code": "US",
            "telephone_number": "310-697-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10401 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141911",
            "country_code": "US",
            "telephone_number": "310-697-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913228",
            "country_code": "US",
            "telephone_number": "310-905-6441",
            "fax_number": "213-559-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11401 Woodglen Dr",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523027",
            "country_code": "US",
            "telephone_number": "310-697-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUICKMED DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHYINA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "678-313-1027"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "05D2203729",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LAB LICENSE",
            "identifier": "CLF00354442",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://qdiagorchard.netsmartcloud.com/",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HL7",
            "address_1": "9415 Culver Blvd",
            "address_2": "PMB#202",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902322616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sameday-testing.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9415 Culver Blvd",
            "address_2": "PMB#202",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902322616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manal Qaqi, RN
• Kyrene Nicole Que
• Ivan Quezada
• Mayda Quezada
• Bridgette Hanna Quiambao
• Quickmed Diagnostic, Inc.
• Anne Quin-Harkin, AMFT
• Yanira Quinones
• Jonathan Anthony Quinonez
• Amee Quintanilla

• Clinical Medical Laboratory in Culver City, CA
• Providers in Culver City, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.