Provider Demographics
NPI:1063706778
Name:QI ENTERPRISES
Entity type:Organization
Organization Name:QI ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-480-2608
Mailing Address - Street 1:111 TRIAD CENTER WEST
Mailing Address - Street 2:
Mailing Address - City:O'FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-7542
Mailing Address - Country:US
Mailing Address - Phone:636-240-6533
Mailing Address - Fax:636-980-3470
Practice Address - Street 1:111 TRIAD CENTER WEST
Practice Address - Street 2:
Practice Address - City:O'FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-7542
Practice Address - Country:US
Practice Address - Phone:636-240-6533
Practice Address - Fax:636-980-3470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory