Coastal Diagnostic Testing Group Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

COASTAL DIAGNOSTIC TESTING GROUP INC

Practice address

520 N Bayshore Dr
Coos Bay, OR 97420-2313

Phone

(541) 756-7710

Fax

(541) 756-7699

NPI assigned

Jul 6, 2015

Last updated

Feb 3, 2025By 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

Mr. Mehrdad Gerami, CRTTNPI 1205215332

Title

Owner

Phone

(541) 260-3471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Coastal Diagnostic Testing Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Diagnostic Testing Group Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Brookings, OR
  • NPI 1134894009
  NPD tax ID

Locations

Practitioners 2

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.

• Mehrdad Gerami

  • Registered Respiratory Therapist
  • Coos Bay, OR
  • NPI 1205215332
  NPD (past) Authorized official
• Mark D Reploeg, M.D.

  • Clinical Neurophysiology Physician
  • Corvallis, OR
  • NPI 1831148592
  NPD

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1215310578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BAYSHORE DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202313",
            "telephone_number": "541-756-7710",
            "fax_number": "541-756-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BAYSHORE DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202313",
            "telephone_number": "541-756-7710",
            "fax_number": "541-756-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIAGNOSTIC TESTING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "GERAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-260-3471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Val Chu, PA-C
• Stephanie Ann Chuml, ATC
• Clair's II Adult Foster Home LLC
• Shandi Marie Clark, LPC, ADC
• Coastal Center, LLC.
• Coastal Medical Services Inc
• Coastal Roots Psychiatry, LLC
• Michael Jason Cole
• Shalah Collicott
• Jeanine Shannon-Allison Collier, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.