Provider Demographics
NPI:1225056880
Name:QUALITY PLUS DIAGNOSTIC SERVICES, INC
Entity Type:Organization
Organization Name:QUALITY PLUS DIAGNOSTIC SERVICES, INC
Other - Org Name:QUALITY PLUS DIAGNOSTIC SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-388-9000
Mailing Address - Street 1:3470 WILSHIRE BLVD STE 636
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3917
Mailing Address - Country:US
Mailing Address - Phone:213-388-9000
Mailing Address - Fax:213-388-9003
Practice Address - Street 1:3470 WILSHIRE BLVD STE 636
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3917
Practice Address - Country:US
Practice Address - Phone:213-388-9000
Practice Address - Fax:213-388-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGMedicare ID - Type UnspecifiedIDTF