Provider Demographics
NPI:1568353530
Name:GOLDEN ELIXIR SOLUTIONS
Entity type:Organization
Organization Name:GOLDEN ELIXIR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:936-433-8169
Mailing Address - Street 1:PO BOX 566
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:TX
Mailing Address - Zip Code:77360-0566
Mailing Address - Country:US
Mailing Address - Phone:936-433-8169
Mailing Address - Fax:
Practice Address - Street 1:1872 FM 3186
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:TX
Practice Address - Zip Code:77360-7550
Practice Address - Country:US
Practice Address - Phone:936-433-8169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty