Provider Demographics
NPI:1821123415
Name:Q-METRX, INC.
Entity Type:Organization
Organization Name:Q-METRX, INC.
Other - Org Name:VALLEY SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-563-5409
Mailing Address - Street 1:1612 W OLIVE AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2461
Mailing Address - Country:US
Mailing Address - Phone:818-563-5409
Mailing Address - Fax:818-842-2043
Practice Address - Street 1:1612 W OLIVE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2461
Practice Address - Country:US
Practice Address - Phone:818-563-5409
Practice Address - Fax:818-842-2043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABT79339293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG125Medicare ID - Type UnspecifiedIDTF PROVIDER NUMBER