Organization Active NPI

Quick Care Diagnostics LLC

  • Allergy Physician
  • Austell, GA
National Provider Identifier
1932683083
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
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

Updated by the provider on Sep 24, 2018

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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003142287SMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.