Provider Demographics
NPI:1043209877
Name:QUALITY ASSURED SERVICES INC.
Entity type:Organization
Organization Name:QUALITY ASSURED SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DVP AND GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-506-8716
Mailing Address - Street 1:30 S KELLER RD STE 100B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-6297
Mailing Address - Country:US
Mailing Address - Phone:866-683-7331
Mailing Address - Fax:888-563-9635
Practice Address - Street 1:30 S KELLER RD STE 100B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-6297
Practice Address - Country:US
Practice Address - Phone:866-683-7331
Practice Address - Fax:888-563-9635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY ASSURED SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-14
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1102332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110070300Medicaid
FL028299500Medicaid
FLU0263Medicare PIN
FL000223727Medicaid