Quantum Diagnostic LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

QUANTUM DIAGNOSTIC LLC

Practice address

23337 Orchard Lake Rd
Farmington, MI 48336-3238

Phone

(248) 598-7474

NPI assigned

May 6, 2020

Last updated

May 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ammar Moussa Awada

Title

Owner

Phone

(313) 779-9333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1912528456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23337 ORCHARD LAKE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363238",
            "telephone_number": "248-598-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23337 ORCHARD LAKE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363238",
            "telephone_number": "248-598-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "AWADA",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_middle_name": "MOUSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-779-9333"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Farmington, MI
• Providers in Farmington, MI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.