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

(571) 534-3973

Fax

(571) 592-7556

NPI assigned

Jul 16, 2021

Organization subpart

Yes

Parent organization

QUICKMED DIAGNOSTIC, INC.As reported in NPPES

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

Part of

Quickmed Diagnostic Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Quickmed Diagnostic, Inc.

  • Clinical Medical Laboratory
  • Culver City, CA
  • NPI 1073101028
  NPPES parent name

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1356913446",
    "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": "571-534-3973",
            "fax_number": "571-592-7556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Leesburg Pike Ste 110",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220432004",
            "country_code": "US",
            "telephone_number": "571-534-3973",
            "fax_number": "571-470-8259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUICKMED DIAGNOSTIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUICKMED DIAGNOSTIC, INC.",
        "enumeration_date": "2021-07-16",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015305430002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "49D2231959",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "app.sameday-testing.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7600 Leesburg Pike Ste 110",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220432004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "7600 Leesburg Pike Ste 110",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220432004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyrene Nicole Que
• Ivan Quezada
• Mayda Quezada
• Bridgette Hanna Quiambao
• Quickmed Diagnostic, Inc.
• Anne Quin-Harkin, AMFT
• Yanira Quinones
• Jonathan Anthony Quinonez
• Amee Quintanilla
• Silvia 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.