Organization
QUICKMED DIAGNOSTIC, INC.
Active
Parent organization
QUICKMED DIAGNOSTIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUICKMED DIAGNOSTIC, INC.
Authorized official
CHYINA PETERSON (DIRECTOR)
(678) 313-1027
Entity
Organization
Contact information
Practice address
7600 LEESBURG PIKE STE 110, FALLS CHURCH, VA 22043-2004
(571) 534-3973
(571) 470-8259
Mailing address
9415 CULVER BLVD, CULVER CITY, CA 90232-2616
(571) 592-7556
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015305430002
—
VA
01
—
49D2231959
CLIA ID
VA
Enumeration date
07/16/2021
Last updated
06/15/2026
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