Active NPI
Qualitas Corporation
Doing business as Qualitas Imaging Center
- Specialist
- Wellington, FL
National Provider Identifier
1770693491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6589
- Legal business name
- QUALITAS CORPORATION
- Doing business as
- Qualitas Imaging Center
- Practice address
- 12300 Southshore Blvd
Suite 105
Wellington, FL 33414-6237 - Phone
- (561) 798-2233
- Fax
- (561) 784-3903
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jorge Daniel Ghiragossian, MD
- Title
- Owner
- Phone
- (561) 798-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6589 | FL | Primary |
Addresses
Primary practice location
12300 Southshore Blvd
Suite 105
Wellington, FL 33414-6237
Mailing address
1157 S State Road 7
Wellington, FL 33414-6101
Phone (561) 798-2233
Other names 1
- QUALITAS IMAGING CENTER
National Provider Directory
National Provider DirectoryLocations
12300 South Shore Blvd
Ste 105
Wellington, FL 33414
Phone (561) 798-2233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770693491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 S STATE ROAD 7",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146101",
"telephone_number": "561-798-2233",
"fax_number": "561-784-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 SOUTHSHORE BLVD",
"address_2": "SUITE 105",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146237",
"telephone_number": "561-798-2233",
"fax_number": "561-784-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITAS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GHIRAGOSSIAN",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-798-2233",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "6589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "QUALITAS IMAGING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Lisa Pugliese
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- Holly Quastler, FNP-BC
- Samantha L Quevedo, RBT
- Celestine Marie Quiroga, MS
- R&R LLC (Wellington Elder Care 1)
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.