Qualvita Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUALVITA DIAGNOSTICS

Doing business as

Qualvita Wellness

Practice address

9101 Cherry LN Ste 213
Laurel, MD 20708-1151

Phone

(973) 856-3631

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Williams, BS

Title

Cso

Phone

(973) 856-3631

Specialties & licenses 1

Addresses

Other names 1

• QUALVITA WELLNESS Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1396356846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 CHERRY LN STE 213",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081151",
            "telephone_number": "973-856-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 CHERRY LN STE 213",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081151",
            "telephone_number": "973-856-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALVITA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CSO",
        "authorized_official_telephone_number": "973-856-3631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ADMIN@QUALVITADIAGNOSTICS.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9101 Cherry Ln",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207081133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "QUALVITA WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Alice Putnam, PT
• Rumsha Qaiyumi
• Sujata Qasba, M.D.
• Quality Care & Support Services
• Quality N Care Group, Corp
• Archie Quartey
• Lisa M Queen, RN
• Joseph Qureshi, M.D.
• Helmy Qurtom, MD
• R L Blissful Medical Clinic, LLC

• Clinical Medical Laboratory in Laurel, MD
• Providers in Laurel, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.