Active NPI
Super Quantum LLC
- Clinical Medical Laboratory
- Cartersville, GA
National Provider Identifier
1932003332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SUPER QUANTUM LLC
- Practice address
- 15 Sweet Gracie Holw NW
Cartersville, GA 30120-7734 - Phone
- (770) 548-4660
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- 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
- Kamaluzzaman Khilji
- Title
- Owner
- Phone
- (770) 548-4660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
15 Sweet Gracie Holw NW
Cartersville, GA 30120-7734
Mailing address
15 Sweet Gracie Holw NW
Cartersville, GA 30120-7734
Phone (770) 548-4660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1932003332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SWEET GRACIE HOLW NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207734",
"telephone_number": "770-548-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SWEET GRACIE HOLW NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207734",
"telephone_number": "770-548-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPER QUANTUM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "KHILJI",
"authorized_official_first_name": "KAMALUZZAMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-548-4660"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
- Summit Imaging Services LLC
- Summit Radiology Services P C
- Summit Virtual Radiology, LLC
- Crystal Leigh Sumner, PT
- Sunbridge Retirement Care Associates LLC (Cartersville Heights Care and Rehabilitation Center)
- Superior Medical Supply Inc
- Destin Chailie Sutton
- Stephen Zachary Sutton, PHARMD
- Donald W. Swanson, D.DS.
- Christopher Eric Sward, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.