Gulf South Diagnostic Solutions LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GULF SOUTH DIAGNOSTIC SOLUTIONS LLC

Practice address

2500 Summer St
Houston, TX 77007-3826

Phone

(504) 827-1050

NPI assigned

May 22, 2024

Last updated

Oct 2, 2024By 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

Christopher Ridgeway

Title

Founder

Phone

(713) 299-6466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Locations

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1790524577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 WOODVINE AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SUMMER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073826",
            "telephone_number": "504-827-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SOUTH DIAGNOSTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "713-299-6466"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf EMS, LLC
• Gulf Family Dental PC
• Gulf Gate MRI
• Gulf Imaging Associates, PA
• Gulf Shores Outpatient Substance Center (Gulf Shores Academy Inc.)
• Gulfcoast Andrology, LLC
• Gulfcoast Wellness Managemt Group
• Gulfgate Kidney Center, LLC
• Gulfgate Vision PC
• Gulfton Dental PA

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.