Provider Demographics
NPI:1629254560
Name:QCTS, INC.
Entity Type:Organization
Organization Name:QCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:QUINTINSKIE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:253-223-5380
Mailing Address - Street 1:1411 FIRLAND DR
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-6623
Mailing Address - Country:US
Mailing Address - Phone:253-223-5380
Mailing Address - Fax:206-350-4385
Practice Address - Street 1:1411 FIRLAND DR
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-6623
Practice Address - Country:US
Practice Address - Phone:253-223-5380
Practice Address - Fax:206-350-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies