Organization Active NPI

Quality Imaging Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Beverly Hills, CA
National Provider Identifier
1588714745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
QUALITY IMAGING DIAGNOSTICS, INC.
Practice address
8383 Wilshire Blvd
Ste # 348
Beverly Hills, CA 90211-2412
Phone
(323) 658-5830
Fax
(323) 655-1619
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marina Kokuashvili
Title
Ceo
Phone
(323) 658-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

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

Mailing address

8383 Wilshire Blvd.
Ste # 348
Beverly Hills, CA 90211-2415
Phone (323) 658-5830

National Provider Directory

National Provider Directory

Locations

1925 17th St
Bakersfield, CA 93301
Phone (661) 323-2295

8383 Wilshire Blvd
Ste 348
Beverly Hills, CA 90211
Phone (323) 658-5830

2256 Whittier Blvd
#60
Los Angeles, CA 90023

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588714745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD.",
            "address_2": "STE # 348",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112415",
            "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": "STE # 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": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOKUASHVILI",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "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": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.