Quad Central LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUAD CENTRAL LLC.

Practice address

2630 Villa Di Lago Unit 5
Grand Prairie, TX 75054-6624

Phone

(903) 445-1265

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline Gross

Title

President

Phone

(903) 445-1265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1861143646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BROAD ST STE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635633",
            "telephone_number": "903-445-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 VILLA DI LAGO UNIT 5",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546624",
            "telephone_number": "903-445-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CENTRAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-445-1265"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julianne Pyle, LPC - S
• Quad Cities Remodeling
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• Quan Dang Le MD PA (DFW Pain Sports and Spine Center)
• Queensland Home Health Agency Limited Liability Company
• Quick Transport

• Clinical Medical Laboratory in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.