Coastal Medical Lab

LBN: Coastal Medical Inc
Coastal Medical Lab is an health care organization with primary practice located at 272 W Exchange St Suite 100, Providence RI 02903-1061. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Coastal Medical Inc can be contacted via phone (401) 421-5434, or through Moss, Meryl via phone (401) 421-4000.

Contact Information

Primary practice address
272 W Exchange St Suite 100 Providence RI 02903-1061
Fax: (401) 421-4633
Website:
Authorized official contact:
Name: Moss, Meryl

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 00412 Rhode Island

Profile Details

NPI number 1972590552
LBN Legal business name Coastal Medical Inc
DBA Doing business as Coastal Medical Lab
Authorized official Moss, Meryl
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 6th, 2017 - about 7 years 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 1972590552 NPPES
Rhode Island MEDICAID 1972590

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