Provider Demographics
NPI:1366226565
Name:QUICK DIAGNOSIS LLC
Entity type:Organization
Organization Name:QUICK DIAGNOSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:443-660-6712
Mailing Address - Street 1:1540 NE 177TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1448
Mailing Address - Country:US
Mailing Address - Phone:443-660-6712
Mailing Address - Fax:
Practice Address - Street 1:693 NE 167TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-2402
Practice Address - Country:US
Practice Address - Phone:561-299-0496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty