Coastal Lab & Radiology Services

LBN: Coastal Radiology Services, Inc.
Coastal Lab & Radiology Services is an health care organization with primary practice located at 32332 Camino Capistrano Suite 205, San Juan Capistrano CA 92675-3701. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Coastal Radiology Services, Inc. can be contacted via phone (949) 429-7404, or through Canales, Martin A. via phone (949) 429-7404.

Contact Information

Primary practice address
32332 Camino Capistrano Suite 205 San Juan Capistrano CA 92675-3701
Phone: (949) 429-7404
Fax: (949) 481-3209
Website:
Map and Directions
Authorized official contact:
Name: Canales, Martin A.
Phone: (949) 429-7404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1063439818
LBN Legal business name Coastal Radiology Services, Inc.
DBA Doing business as Coastal Lab & Radiology Services
Authorized official Canales, Martin A.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1063439818 NPPES
California MEDICAID XR062500F

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