Provider Demographics
NPI:1194884189
Name:QLP, LLC
Entity type:Organization
Organization Name:QLP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HINDORFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-329-5711
Mailing Address - Street 1:3410 N SEA PNES
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-0920
Mailing Address - Country:US
Mailing Address - Phone:602-329-5711
Mailing Address - Fax:480-629-4180
Practice Address - Street 1:3410 N SEA PNES
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-0920
Practice Address - Country:US
Practice Address - Phone:602-329-5711
Practice Address - Fax:480-629-4180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ751265OtherAHCCCS