Coastline Imaging Llc

LBN: Coastline Imaging Llc
Coastline Imaging Llc is an health care organization with primary practice located at 2290 W Eau Gallie Blvd Suite 108, Melbourne FL 32935-3133. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coastline Imaging Llc can be contacted via phone (321) 253-2700, or through Eaker, James via phone (321) 253-2700.

Contact Information

Primary practice address
2290 W Eau Gallie Blvd Suite 108 Melbourne FL 32935-3133
Phone: (321) 253-2700
Fax: (321) 253-2267
Website:
Map and Directions
Authorized official contact:
Name: Eaker, James
Phone: (321) 253-2700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X HCC3989 Florida

Profile Details

NPI number 1184805491
LBN Legal business name Coastline Imaging Llc
DBA Doing business as
Authorized official Eaker, James
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated Apr 28th, 2022 - about 2 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 1184805491 NPPES
Florida MEDICAID 264871701

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