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Organization
QUANTUM DIAGNOSTIC LLC
Active
Organization
QUANTUM DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR MOUSSA AWADA (OWNER)
(313) 779-9333
Entity
Organization
Contact information
Practice address
23337 ORCHARD LAKE RD, FARMINGTON, MI 48336-3238
(248) 598-7474
Mailing address
23337 ORCHARD LAKE RD, FARMINGTON, MI 48336-3238
(248) 598-7474
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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