Cleveland Clinic Imaging

LBN: Coastal Care Corporation
Cleveland Clinic Imaging is an health care organization with primary practice located at 1095 Nw Saint Lucie West Blvd , Port St Lucie FL 34986-1719. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Coastal Care Corporation can be contacted via phone (772) 785-5502, or through Longville, Timothy L. via phone (216) 636-7416.

Contact Information

Primary practice address
1095 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1719
Phone: (772) 785-5502
Fax: (772) 223-5622
Website:
Map and Directions
Authorized official contact:
Name: Longville, Timothy L.
Phone: (216) 636-7416

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X
Ambulatory Health Care Facilities / Radiology 261QR0200X 4102 Florida
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X 4102 Florida

Profile Details

NPI number 1558320556
LBN Legal business name Coastal Care Corporation
DBA Doing business as Cleveland Clinic Imaging
Authorized official Longville, Timothy L.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated May 22nd, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558320556 NPPES
Florida Other V2390 BLUE CROSS
Florida Other CA5218 BLUE CROSS

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