Provider Demographics
NPI:1659526770
Name:GOLDEN TOUCH DIAGNOSTIC CENTER INC
Entity Type:Organization
Organization Name:GOLDEN TOUCH DIAGNOSTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:352-237-6667
Mailing Address - Street 1:3306 SW 26TH AVE
Mailing Address - Street 2:SUITE 402B
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7856
Mailing Address - Country:US
Mailing Address - Phone:352-237-6667
Mailing Address - Fax:
Practice Address - Street 1:3306 SW 26TH AVE
Practice Address - Street 2:SUITE 402B
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7856
Practice Address - Country:US
Practice Address - Phone:352-237-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA38318OtherCITY LICENSE-IDTF