Gold Coast Diagnostic Services, Inc.

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

GOLD COAST DIAGNOSTIC SERVICES, INC.

Practice address

845 N Michigan Ave
Suite 985W
Chicago, IL 60611-2252

Phone

(312) 521-5500

NPI assigned

Dec 30, 2010

Organization subpart

No

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

Authorized official

Name

Roberto Diaz

Title

President/ Ceo

Phone

(312) 521-5500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1184928434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 985W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 985W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-521-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "312-521-5500"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge Alexander Golber, M.D.
• Gold Body Medspa PLLC
• Gold Coast Anesthesia PLLC
• Gold Coast Bariatrics LLC
• Gold Coast Clinical Associates Inc
• Gold Coast Gynecology Surgery SC
• Gold Coast Internal Medicine
• Gold Coast Orthopaedic and Spine Surgery S C
• Gold Coast Orthopaedic and Spine Surgery SC
• Gold Coast Osteopathic, PSC

• Phlebotomy Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.