East Coast Clinical Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EAST COAST CLINICAL SERVICES INC

Practice address

777 37TH St
A-107
Vero Beach, FL 32960-4873

Phone

(772) 569-6000

Fax

(772) 569-6066

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa M. Boutwell-Pittman

Title

Director of Clinical Services

Phone

(772) 569-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1073662755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "A-107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-569-6000",
            "fax_number": "772-569-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "A-107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-569-6000",
            "fax_number": "772-569-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BOUTWELL-PITTMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "772-569-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dyne, M.S. CCC-SLP
• Kim A Dyson, CNM
• E & R VB Ventures, LLC
• Dean W Earl, OPTICIAN
• Pamela Ann Earl, PT
• East Coast Private Care, LLC
• East Coast Surgical Specialties
• Charles Eugene Eberhart, M.D.
• Betsy Jo Eberts, LMT
• Keith Walter Eble, PHD

• Clinical Medical Laboratory in Vero Beach, FL
• Providers in Vero 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 12, 2007; 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.