Quality Imaging Diagnostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUALITY IMAGING DIAGNOSTICS, INC.

Practice address

8383 Wilshire Blvd
Suite #348
Beverly Hills, CA 90211-2412

Phone

(323) 658-5830

Fax

(323) 655-1619

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Kokuashvili

Title

President

Phone

(323) 658-5830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1295884831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "SUITE #348",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112412",
            "telephone_number": "323-658-5830",
            "fax_number": "323-655-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "SUITE #348",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112412",
            "telephone_number": "323-658-5830",
            "fax_number": "323-655-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY IMAGING DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "KOKUASHVILI",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-658-5830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Beverly Hills, CA
• Providers in Beverly Hills, 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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.