Covid Testing Centers of America Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COVID TESTING CENTERS OF AMERICA INC

Practice address

1193 S Eastwood Dr Ste 1
Woodstock, IL 60098-4645

Phone

(847) 802-8190

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Lawrence Joseph Goldstein, LAB DIRECTOR

Title

President / Lab Director

Phone

(480) 670-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1770210205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 S EASTWOOD DR STE 1",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984645",
            "telephone_number": "847-802-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 S EASTWOOD DR STE 1",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984645",
            "telephone_number": "847-802-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID TESTING CENTERS OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT / LAB DIRECTOR",
        "authorized_official_telephone_number": "480-670-2000",
        "authorized_official_credential": "LAB DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Woodstock, IL
• Providers in Woodstock, 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 Sep 22, 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.