Coastal Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COASTAL DIAGNOSTICS LLC

Practice address

7 Sycamore Way Unit 9a
Branford, CT 06405-6523

Phone

(475) 219-3261

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tricia Conroy

Title

Owner

Phone

(475) 219-3261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1184306946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SYCAMORE WAY UNIT 9A",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056523",
            "telephone_number": "475-219-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SYCAMORE WAY UNIT 9A",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056523",
            "telephone_number": "475-219-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-219-3261"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Therapeutics LLC
• Sarah Clark, PA
• Claudia R. Libertin MD LLC
• Michael W Cleman, MD
• Heather R. Clinton, LCSW
• Vanessa Lisette Cobb, M.S., CCC-SLP
• David Brandon Cohen, M.D.
• Kristin D. Cohen, RPT, D-EDX
• Ryan Leslie Cole, MBA, BSN, RN, DNP-NE
• Melanie Jerilyn Coletta, AGACNP-BC; AGPCNP-BC

• Clinical Medical Laboratory in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.