Encore Imaging

LBN: Coastline Imaging Llc
Encore Imaging is an health care organization with primary practice located at 2290 W Eau Gallie Blvd Ste 104 , Melbourne FL 32935-3134. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Coastline Imaging Llc can be contacted via phone (321) 253-2700, or through Lauricia, Danette via phone (321) 253-2700.

Contact Information

Primary practice address
2290 W Eau Gallie Blvd Ste 104 Melbourne FL 32935-3134
Fax: (321) 253-2267
Website:
Authorized official contact:
Name: Lauricia, Danette

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X HCC3989 Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X HCC3989 Florida

Profile Details

NPI number 1770576167
LBN Legal business name Coastline Imaging Llc
DBA Doing business as Encore Imaging
Authorized official Lauricia, Danette
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 11th, 2024 - about 10 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 1770576167 NPPES
Florida Other V2122 BCBS FL

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