Provider Demographics
NPI:1639695257
Name:GO DIAGNOSTICS INC
Entity Type:Organization
Organization Name:GO DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ELSAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-941-1284
Mailing Address - Street 1:5862 N LINCOLN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4625
Mailing Address - Country:US
Mailing Address - Phone:847-410-2126
Mailing Address - Fax:847-972-0063
Practice Address - Street 1:5862 N LINCOLN AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659
Practice Address - Country:US
Practice Address - Phone:847-410-2126
Practice Address - Fax:847-972-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier