Gold Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GOLD LAB

Practice address

1311 Shoal Dr
San Mateo, CA 94404-1517

Phone

(650) 235-4728

Fax

(650) 235-4729

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Adrian Goldstein, M.D.

Title

President

Phone

(650) 235-4728

Specialties & licenses 1

Addresses

Other names 1

• GOLDLab Doing business as

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1083962161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SHOAL DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041517",
            "telephone_number": "650-235-4728",
            "fax_number": "650-235-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 SHOAL DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041517",
            "telephone_number": "650-235-4728",
            "fax_number": "650-235-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-235-4728",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Anne Gleason
• Glenn Belen, D.D.S. Elizabeth Vasco, D.D.S., a.P.C.
• David Michael Glenn, MD
• Cynthia Gay Glidewell, RN BS
• Waki Gojo
• Tiffany Goldberg, PHARMD
• Golden Angel Medical Transportation Inc
• Golden Angel Medical Transportation Inc
• Bethany Nourse Golden, CNM
• Michael David Goldfield, M.D.

• Clinical Medical Laboratory in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.