Active NPI
Gold Coast Medical Diagnostics Co LLC
- Diagnostic Radiology Physician
- Denver, CO
National Provider Identifier
1821933003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- GOLD COAST MEDICAL DIAGNOSTICS CO LLC
- Practice address
- 4999 E Kentucky Ave
Denver, CO 80246-3901 - Phone
- (720) 551-4112
- NPI assigned
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ossamah Abaidat
- Title
- Billing Manager
- Phone
- (720) 551-4112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4999 E Kentucky Ave
Denver, CO 80246-3901
Mailing address
4999 E Kentucky Ave
Denver, CO 80246-3901
Phone (720) 551-4112
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1821933003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4999 E KENTUCKY AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802463901",
"telephone_number": "720-551-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4999 E KENTUCKY AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802463901",
"telephone_number": "720-551-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COAST MEDICAL DIAGNOSTICS CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "ABAIDAT",
"authorized_official_first_name": "OSSAMAH",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "720-551-4112"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.