Golden Hearts Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GOLDEN HEARTS DIAGNOSTICS LLC

Practice address

1810 10TH St
Alamogordo, NM 88310-5051

Phone

(575) 440-0044

Fax

(575) 551-7500

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Crystal Copeland, CMA, CDP

Title

Owner

Phone

(575) 415-5195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 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

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1376299289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105051",
            "telephone_number": "575-440-0044",
            "fax_number": "575-551-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105051",
            "telephone_number": "575-440-0044",
            "fax_number": "575-551-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEARTS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-415-5195",
        "authorized_official_credential": "CMA, CDP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rufus Gilford, LMSW
• Kimberly Sue Gililland, RNC-OB
• Sherry E Gill, CNP
• Richard Paul Gilsdorf, LPCC
• Nathaniel Goddard
• Golden Hearts Home Care LLC
• Nathan Goldfein, MD
• Michael Anthony Gomez-Montes
• Elizabeth Gomez
• Karina Gomez

• Clinical Medical Laboratory in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.