Organization Active NPI

Qualitas Corporation

Doing business as Qualitas Imaging Center

  • Specialist
  • Wellington, FL
National Provider Identifier
1770693491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6589 Issued in FL
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

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
Jorge Daniel Ghiragossian, MD
Title
Owner
Phone
(561) 798-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Wellington, FL

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.