Provider Demographics
NPI:1609422682
Name:QOL MEDICAL INTEGRATORS, INC.
Entity Type:Organization
Organization Name:QOL MEDICAL INTEGRATORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCORDOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-336-4246
Mailing Address - Street 1:PO BOX 1433
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-1433
Mailing Address - Country:US
Mailing Address - Phone:919-336-4246
Mailing Address - Fax:928-326-2555
Practice Address - Street 1:3344 HILLSBOROUGH ST STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5460
Practice Address - Country:US
Practice Address - Phone:919-336-4246
Practice Address - Fax:928-326-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center