Active NPI
Quick Care Diagnostics LLC
- Allergy Physician
- Austell, GA
National Provider Identifier
1932683083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- QUICK CARE DIAGNOSTICS LLC
- Practice address
- 4760 Austell Rd Ste 7
Austell, GA 30106-2007 - Phone
- (770) 366-9614
- Fax
- (877) 779-5837
- NPI assigned
- Sep 24, 2018
- 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
- Dr. Oluwole Oluwole, MD,
- Title
- Owner
- Phone
- (770) 366-9614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
4760 Austell Rd Ste 7
Austell, GA 30106-2007
Mailing address
4760 Austell Rd Ste 7
Austell, GA 30106-2007
Phone (770) 366-9614
Other practice location 1
505 Leighton Woods Ct
Smyrna, GA 30080-5534
Phone (770) 366-9614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003142287S | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537747200000",
"number": "1932683083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 AUSTELL RD STE 7",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062007",
"telephone_number": "770-366-9614",
"fax_number": "877-779-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 AUSTELL RD STE 7",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062007",
"telephone_number": "770-366-9614",
"fax_number": "877-779-5837"
}
],
"practiceLocations": [
{
"address_1": "505 Leighton Woods Ct",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300805534",
"country_code": "US",
"telephone_number": "770-366-9614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "QUICK CARE DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A",
"authorized_official_last_name": "OLUWOLE",
"authorized_official_first_name": "OLUWOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-366-9614",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD,"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003142287S",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.