Active NPI
Coastal Care Labs LLC
Doing business as Coastal Care Labs
- Clinical Medical Laboratory
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COASTAL CARE LABS LLC
- Doing business as
- Coastal Care Labs
- Practice address
- 8291 Dani Dr Ste 100
Fort Myers, FL 33966-8021 - Phone
- (904) 437-1529
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Owusu Sakyi Agyekum
- Title
- Ceo
- Phone
- (904) 437-1529
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
8291 Dani Dr Ste 100
Fort Myers, FL 33966-8021
Mailing address
8291 Dani Dr Ste 100
Fort Myers, FL 33966-8021
Phone (904) 437-1529
Other names 1
- COASTAL CARE LABS
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2168941 | Coast Med Urgent Care | Certificate of waiver | Jul 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
8291 Dani Dr
Ste 100
Fort Myers, FL 33966
Phone (239) 264-7022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Fort Myers, FL
- NPI 1881283885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1104507805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8291 DANI DR STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339668021",
"telephone_number": "904-437-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 DANI DR STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339668021",
"telephone_number": "904-437-1529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL CARE LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "SAKYI AGYEKUM",
"authorized_official_first_name": "OWUSU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-437-1529",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COASTAL CARE LABS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
- Coast Dental P.a. (Coast Dental-Gladiolus)
- Coast Dental P.a. (Coast Dental-South Fort Myers)
- Coast Florida P.a. (Coast Dental-Grand Bay Plaza)
- Coastal Cardiology P a
- Coastal Care Health System, Inc.
- Coastal Gardens Recovery Center LLC (Oasis Recovery Center)
- Coastal Internal Medicine Specialists, PA
- Coastal Primecare FL Group (Coaastal Primecare)
- Coastal Women's Wellness, LLC
- Johnny Cobas Hernandez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.