Gist Entities, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GIST ENTITIES, LLC

Doing business as

ARCpoint Labs of Orland Park

Practice address

11006 W 179TH St
Orland Park, IL 60467-9440

Phone

(708) 963-1200

Fax

(708) 963-1204

NPI assigned

May 1, 2020

Last updated

Jun 17, 2020By 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

Dr. Ebonie Gist

Title

Owner

Phone

(708) 963-1200

Specialties & licenses 1

Addresses

Other names 1

• ARCpoint Labs of Orland Park Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1225659204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 W 179TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679440",
            "telephone_number": "708-963-1200",
            "fax_number": "708-963-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 W 179TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679440",
            "telephone_number": "708-963-1200",
            "fax_number": "708-963-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIST ENTITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-963-1200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://arcpoint.sharefile.com/home/shared",
            "affiliation": "N",
            "endpointDescription": "Secure Sharefile",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11006 W 179th St",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604679440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARCpoint Labs of Orland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy Gilliland, PHD
• Faith Gillis
• Suzanne Marie Gillund, PHYSICAL THERAPIST
• Ralph William Ginn, DDS
• John Leo Giovinco, M.D.
• Thomas Richard Giza, SLP-CCC
• Heidi Glatz
• Glenwood Medical Corp LTD
• Glenwood Medical Corporation LTD
• Glenwood Medical Corporation LTD

• Clinical Medical Laboratory in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.