GOLD COAST DIAGNOSTIC SERVICES INC. NPI 1184928434

NPI Information

GOLD COAST DIAGNOSTIC SERVICES, INC. is a phlebotomy technician pathology in Chicago, IL. GOLD COAST DIAGNOSTIC SERVICES, INC. NPI is 1184928434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

845 N MICHIGAN AVE
SUITE 985W
CHICAGO, IL
ZIP 60611-252
Phone: (312) 521-5500

The provider's authorized official is Roberto Diaz .
The authorized official title is President/ Ceo and has the following contact phone number (312) 521-5500.

The CLIA number assigned to this NPI record is 14D0869886 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 12/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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