Provider Demographics
NPI:1841787884
Name:QUALITY IMPACT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:QUALITY IMPACT SOLUTIONS, LLC
Other - Org Name:QIS EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-499-2681
Mailing Address - Street 1:3645 MARKETPLACE BLVD # 130-5
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-5747
Mailing Address - Country:US
Mailing Address - Phone:678-499-2681
Mailing Address - Fax:404-581-5116
Practice Address - Street 1:4282 KIMBALL RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-6519
Practice Address - Country:US
Practice Address - Phone:678-499-2681
Practice Address - Fax:404-581-5116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies