Coastal Diagnostic Testing Group LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

COASTAL DIAGNOSTIC TESTING GROUP LLC

Practice address

1810 Monroe St.
Ste 14
North Bend, OR 97459-3447

Phone

(541) 756-7710

Fax

(541) 756-7699

NPI assigned

Mar 25, 2010

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) 756-7710

Specialties & licenses 1

Addresses

Locations

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.

• Mehrdad Gerami

  • Registered Respiratory Therapist
  • Coos Bay, OR
  • NPI 1205215332
  Authorized official Same address or phone

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1225352776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MONROE ST.",
            "address_2": "STE 14",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593447",
            "telephone_number": "541-329-0099",
            "fax_number": "541-329-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MONROE ST.",
            "address_2": "STE 14",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593447",
            "telephone_number": "541-756-7710",
            "fax_number": "541-756-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIAGNOSTIC TESTING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "GERAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-756-7710",
        "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": []
}

• James Patrick Cheslock, O.D.
• Louis A Christensen, BC-HIS
• Christian Counseling Services of Coos County
• Taylor Claflin
• Shawna Rebecca Clark
• Coastal Medical Services LLC
• Heather M Coates
• Marissa Ortega Colangelo
• Brandon Coleman
• Karen Collell, PHARMD

• Sleep Disorder Diagnostic Clinic/Center in North Bend, OR
• Providers in North Bend, 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 15, 2012; 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.