Organization
GOLD COAST DIAGNOSTICS, LLC
Active
Other names
Keme62 Medical Solutions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MCKINNON (PRESIDENT AND CEO)
(678) 882-5525
Entity
Organization
Contact information
Practice address
4930 GOVERNORS DR STE 407, FOREST PARK, GA 30297-6101
(678) 882-5525
(678) 868-2260
Mailing address
4930 GOVERNORS DR STE 407, FOREST PARK, GA 30297-6101
(678) 882-5525
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/02/2025
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