Organization Active NPI

Goldstar Laboratories Florida

  • Clinical Medical Laboratory
  • Vero Beach, FL
National Provider Identifier
1063870871
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOLDSTAR LABORATORIES FLORIDA
Practice address
1715 37TH PL
Vero Beach, FL 32960-4502
Phone
(772) 409-6058
NPI assigned
Feb 8, 2016
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Zy Shaimoun
Title
Owner
Phone
(310) 589-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

1715 37TH PL
Vero Beach, FL 32960-4502

Mailing address

1715 37TH PL
Vero Beach, FL 32960-4502
Phone (772) 409-6058

National Provider Directory

National Provider Directory

Locations

1715 37th Pl
Vero Beach, FL 32960
Phone (772) 589-0331

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1063870871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502",
            "telephone_number": "772-409-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502",
            "telephone_number": "772-409-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR LABORATORIES FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "SHAIMOUN",
        "authorized_official_first_name": "ZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-589-8900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.