National Provider Identifier Database

COASTLINE IMAGING LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

COASTLINE IMAGING LLC
2290 W EAU GALLIE BLVD STE 104
MELBOURNE, FL32935-3134
Phone: 321-253-2700
Fax: 321-253-2267
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X

* Indicates primary specialty

NPI Profile & details for COASTLINE IMAGING LLC

NPI Number 1770576167
Legal business name
LBN
COASTLINE IMAGING LLC
Authorized official LAURA KASSA - (COMPLIANCE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/31/2005
Last updated 07/11/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: HCC3989
  • FL Other: V2122 BCBS FL

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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