Organization Active NPI

Goldstar Laboratories Ohio LLC

  • Clinical Medical Laboratory
  • Dayton, OH
National Provider Identifier
1033578604
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOLDSTAR LABORATORIES OHIO LLC
Practice address
4126 Linden Ave
Dayton, OH 45432-3018
Phone
(310) 589-8900
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Zy Shlaimoun
Title
President
Phone
(310) 589-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4126 Linden Ave
Dayton, OH 45432-3018

Mailing address

93 Canyon CRK
Irvine, CA 92603-0424
Phone (310) 589-8900

National Provider Directory

National Provider Directory

Locations

4126 Linden Ave
Dayton, OH 45432
Phone (310) 589-8900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1033578604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CANYON CRK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030424",
            "telephone_number": "310-589-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 LINDEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323018",
            "telephone_number": "310-589-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR LABORATORIES OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SHLAIMOUN",
        "authorized_official_first_name": "ZY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-589-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.