Quantum Formula Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUANTUM FORMULA DIAGNOSTICS, LLC

Practice address

1451 Empire Central Dr Ste 100a
Dallas, TX 75247-4139

Phone

(214) 675-4774

Fax

(214) 580-2630

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Alun J Malone

Title

Managing Member / Owner

Phone

(214) 675-4774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1164017422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 EMPIRE CENTRAL DR STE 100A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474139",
            "telephone_number": "214-675-4774",
            "fax_number": "214-594-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 EMPIRE CENTRAL DR STE 100A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474139",
            "telephone_number": "214-675-4774",
            "fax_number": "214-580-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM FORMULA DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "ALUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER / OWNER",
        "authorized_official_telephone_number": "214-675-4774"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Quan, MD
• Jialin Quan
• Zachary Quanbeck, MD
• Quantas Emergency Physicians PLLC
• Quantify Bexa Services USA, LLC (Sure, Inc)
• Quantum Medical Radiology of California, P.C.
• Elizabeth Ann Quarles, MD
• Stephanie Renee Quarles, MD
• Kayla Quashie, RDN
• Gentry Quattlebaum, RBT

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.