Organization Active NPI

Golden Quality Medical Service

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1710234919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GOLDEN QUALITY MEDICAL SERVICE
Practice address
9035 S Burley Ave
Suite 3
Chicago, IL 60617-4460
Phone
(872) 800-8241
NPI assigned
Aug 7, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Wanda Faye Golden Woods
Title
Phlebotomist /Ekg Tech
Phone
(872) 800-8241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X IL Primary

Addresses

Primary practice location

9035 S Burley Ave
Suite 3
Chicago, IL 60617-4460

Mailing address

9035 S Burley
Chicago, IL 60617-4460
Phone (872) 800-8241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710234919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 S BURLEY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174460",
            "telephone_number": "872-800-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 S BURLEY AVE",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174460",
            "telephone_number": "872-800-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN QUALITY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOLDEN WOODS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PHLEBOTOMIST /EKG TECH",
        "authorized_official_telephone_number": "872-800-8241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.