Coastal Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COASTAL LABORATORIES, INC.

Practice address

4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042

Phone

(410) 212-9937

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Patrick Tormay Britton-Harr

Title

President & Ceo

Phone

(410) 212-9937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1255953790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMPROMISE ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011819",
            "telephone_number": "410-212-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "410-212-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "BRITTON-HARR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TORMAY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "410-212-9937"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cmr2612,LLC
• Jennifer Co, MD
• Coalescence Health Services, LLC
• Mary E Coalson, LPC
• Kathryn Elise Coan, M.D.
• Coasterra Anesthesia LLC
• Jessica Coates, M.A.
• Melissa Susan Coates
• Craig Allen Coats, ATC/L, CA
• Cunthia Coats

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.