MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10137
Change Report (if Any):

Short Name: QC/M INC

Long Name 1: QC M INC
Long Name 2:

Address 1: 2621 VICTORY PARKWAY
Address 2:

City: CINCINNATI
Zip Code: 45206
County: HAMI

Contact: MARY CAMPBELL
Title: CEO
Phone: 5138616688
FAX: 5135593848

Vendor: 10137

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012