Organization
QUICKMED DIAGNOSTIC, INC.
Active
Organization
QUICKMED DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHYINA PETERSON (DIRECTOR OF BILLING)
(678) 313-1027
Entity
Organization
Contact information
Practice address
9415 CULVER BLVD, CULVER CITY, CA 90232-2616
(310) 905-6441
(213) 754-6669
Mailing address
9415 CULVER BLVD, PMB#202, CULVER CITY, CA 90232-2616
(310) 905-6441
(213) 754-6669
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
08/27/2026
Update your record
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