National Provider Identifier Database

COASTAL DIAGNOSTIC LLC
Sleep Disorder Diagnostic


Contact Information

COASTAL DIAGNOSTIC LLC
2225 NW STEWART PKWY
ROSEBURG, OR97471-1650
Phone: 458-803-0999
Fax: 458-803-0900
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for COASTAL DIAGNOSTIC LLC

NPI Number 1295468577
Legal business name
LBN
COASTAL DIAGNOSTIC LLC
Authorized official MEHRDAD GERAMI - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 07/05/2022
Last updated 07/05/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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