Core Labs and Diagnostic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CORE LABS AND DIAGNOSTIC

Practice address

4719 Quail Lakes Dr
Stockton, CA 95207-8140

Phone

(209) 414-7553

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Khloe GoldsteinNPI 1861177586

Title

Ceo

Phone

(209) 414-7553

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khloe Goldstein

  • Phlebotomy Technician
  • Stockton, CA
  • NPI 1861177586
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1538844253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 BLAKE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066513",
            "telephone_number": "209-414-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078140",
            "telephone_number": "209-414-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE LABS AND DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "KHLOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-414-7553"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cordova
• Vida B. Cordova, MD
• Ellison H Cordray, MD
• Core Anesthesia Provider Services PC
• Core Anesthesia Services PC
• Allan B Corey
• Corky Hul Medical Assoc
• Kyhia Corley
• Seymour Cornel
• Daisy Paloma Cornelio

• Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.