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QUALITY MEDICAL CLINIC, LLC
NPI 1780288753
Family Medicine in Colorado Springs, CO

Active since November 30, 2020
3604 GALLEY RD STE 201, COLORADO SPRINGS, CO 80909(719) 638-4548 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 17, 2022, Nov 30, 2020 (2 updates tracked since 2020).

About Quality Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUALITY MEDICAL CLINIC, LLC (NPI 1780288753) is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since November 2020. The organization lists Jason Yisu Park, Ceo/ President, as its authorized official.

NPPES Registry Identity

NPI1780288753
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUALITY MEDICAL CLINIC, LLC
Location Address3604 GALLEY RD STE 201Colorado Springs, CO 80909-4301
Mailing Address3604 Galley Rd Ste 201Colorado Springs, CO 80909-4301 · (719) 638-4548
Phone(719) 638-4548
Organization SubpartNo
Authorized OfficialJason Yisu ParkCeo/ President · (720) 240-1805
Enumeration DateNovember 30, 2020
Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1780288753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysical TherapistTaxonomy 225100000X
3604 GALLEY RD STE 201, Colorado Springs, CO 80909
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2190592

Quality Medical Clinic · Colorado Springs, CO
Expired · Aug 16, 2026
CLIA Number06D2190592
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorDr. James T. Heiberger
Laboratory Phone(719) 638-4548
Laboratory LocationQuality Medical Clinic3604 Galley Road Suite 201, Colorado Springs, CO 80909
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY JANE PICINICH FNP-C, BSN RN
Nurse Practitioner (Family)
3604 GALLEY RD STE 201
COLORADO SPRINGS, CO 80909
El Paso County (303) 803-4320
HUN HEE HAN
Nurse Practitioner (Family)
3604 GALLEY RD STE 201
COLORADO SPRINGS, CO 80909
El Paso County (719) 638-4548
QUALITY REHAB INC
Family Medicine
3604 GALLEY RD STE 201
COLORADO SPRINGS, CO 80909
El Paso County (719) 638-4548
TERESA MASON LEE APRN- FNP
Nurse Practitioner (Family)
3604 GALLEY RD STE 201
COLORADO SPRINGS, CO 80909
El Paso County (719) 638-4548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quality Medical Clinic, LLC's NPI number?

The NPI number for Quality Medical Clinic, LLC is 1780288753. It was assigned to this organization in the NPPES registry on November 30, 2020.

Where is Quality Medical Clinic, LLC located?

Quality Medical Clinic, LLC is located at 3604 Galley Rd Ste 201, Colorado Springs, CO 80909. The listed phone number is (719) 638-4548.

What is Quality Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Quality Medical Clinic, LLC was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.