Organization
QUICKMED DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GEORGE SAVVIDES (VP OF OPERATIONS)
(310) 905-6441
Entity
Organization
Contact information
Practice address
5930 W JEFFERSON BLVD, LOS ANGELES, CA 90016-4306
(310) 905-6441
(213) 559-0676
Mailing address
5930 W JEFFERSON BLVD, LOS ANGELES, CA 90016-4306
(310) 905-6441
(213) 559-0676
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2203729
CLIA ID
CA
01
—
CLF00354442
STATE LAB LICENSE
CA
Enumeration date
01/05/2021
Last updated
03/11/2023
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