COASTAL DIAGNOSTIC LLC; NPI #1295468577

Contact Information

COASTAL DIAGNOSTIC LLC

2225 NW STEWART PKWY
ROSEBURG, OR 97471-1650

Phone: 458-803-0999
Fax: 458-803-0900
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for COASTAL DIAGNOSTIC LLC

NPI Number	`1295468577`
LBN Legal business name	COASTAL DIAGNOSTIC LLC
Authorized official	MEHRDAD GERAMI - (OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/05/2022
Last updated	07/05/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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