Coastal Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COASTAL LABORATORY LLC

Practice address

1509 Prosperity Farms Rd
Suite 101
West Palm Beach, FL 33403-2025

Phone

(772) 361-6255

NPI assigned

Jul 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tom Stanley

Title

Managing Member

Phone

(772) 361-6255

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1013324664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 PROSPERITY FARMS RD STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334032025",
            "telephone_number": "772-361-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 PROSPERITY FARMS RD",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334032025",
            "telephone_number": "772-361-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "772-361-6255"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Medical Products LLC
• Coastal Rehabilitation Services Inc
• Meghan Nicole Cobb, COTA
• Reasia Cobb
• Angela Coben

• Clinical Medical Laboratory in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.