Provider Demographics
NPI:1023362654
Name:QM LABS, INC.
Entity Type:Organization
Organization Name:QM LABS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-382-9698
Mailing Address - Street 1:115 HICKORY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-3505
Mailing Address - Country:US
Mailing Address - Phone:210-382-9698
Mailing Address - Fax:888-330-4436
Practice Address - Street 1:115 HICKORY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3505
Practice Address - Country:US
Practice Address - Phone:210-382-9698
Practice Address - Fax:888-330-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory