| Organization Name: | QUALITY VASCULAR IMAGING, INC. |
| NPI Number: | 1033120977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEAN M WHITE (PRESIDENT) |
| Mailing Address: | 4120 Woodmere Park Blvd Suite 8b Venice |
| State: | FL US |
| Postal Code: | 342935373 |
| Phone Number: | 9414088855 |
| Fax Number: | 9414088955 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |