Provider Demographics
NPI:1942029236
Name:QURALAB INC.
Entity type:Organization
Organization Name:QURALAB INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOKHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMSADOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-953-6521
Mailing Address - Street 1:9020 SW 137TH AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1427
Mailing Address - Country:US
Mailing Address - Phone:786-953-6521
Mailing Address - Fax:305-390-3401
Practice Address - Street 1:9020 SW 137TH AVE STE 216
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1427
Practice Address - Country:US
Practice Address - Phone:786-953-6521
Practice Address - Fax:305-390-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory