Organization
GP DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN ELSHATARAT (MGR)
(224) 733-9546
Entity
Organization
Contact information
Practice address
265 NE 24TH ST STE 107, MIAMI, FL 33137-5040
(224) 733-9546
Mailing address
10625 MAJOR AVE APT 2N, CHICAGO RIDGE, IL 60415-2323
(224) 733-9546
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/25/2024
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