Goldstar Laboratories Missouri LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GOLDSTAR LABORATORIES MISSOURI LLC

Practice address

11669 Lilburn Park Dr
Maryland Heights, MO 63146-3535

Phone

(314) 755-1818

Fax

(314) 755-1186

NPI assigned

Feb 8, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zia Shlaimoun

Title

Owner

Phone

(314) 755-1818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1205294030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11669 LILBURN PARK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "631463535",
            "telephone_number": "314-755-1818",
            "fax_number": "314-755-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11669 LILBURN PARK DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "631463535",
            "telephone_number": "314-755-1818",
            "fax_number": "314-755-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR LABORATORIES MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SHLAIMOUN",
        "authorized_official_first_name": "ZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-755-1818"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geriatric Practitioner Services, LLC
• Allison Anne Gill, M.S. CCC-SLP
• Angela Laurice Gitman, FNP-C
• Halsey Glantz, PT, DPT, GCS
• Beth Marilyn Glenn, APRN
• Geraldine Gomez Garcia
• Mariaimee Gonzalez, PLPC
• Christine R Gottman, A.N.P.
• Breanne Marie Gould, PA-C
• Erin Kathleen Gould, M.S.E., LPC

• Clinical Medical Laboratory in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.