The Medical Testing and Referral Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

25353 Issued in AL

Legal business name

THE MEDICAL TESTING AND REFERRAL CENTER

Practice address

350 Cypress Bend Blvd
Gulf Shores, AL 36542-2773

Phone

(251) 967-7608

Fax

(251) 967-7647

NPI assigned

May 23, 2007

Last updated

Aug 22, 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. Gustavo Diaz, M.D.

Title

Medical Director

Phone

(251) 967-7660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740490119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND BLVD",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422773",
            "telephone_number": "251-967-7608",
            "fax_number": "251-967-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND BLVD",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422773",
            "telephone_number": "251-967-7608",
            "fax_number": "251-967-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL TESTING AND REFERRAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "251-967-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "25353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.