Coastal Diagnostic LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

COASTAL DIAGNOSTIC LLC

Practice address

2225 NW Stewart Pkwy
Roseburg, OR 97471-1650

Phone

(458) 803-0999

Fax

(458) 803-0900

NPI assigned

Jul 5, 2022

Organization subpart

Yes

Parent organization

COASTAL DIAGNOSTIC TESTING GROUP INCAs reported in NPPES

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

Authorized official

Name

Mr. Mehrdad Gerami, CRT

Title

Owner

Phone

(541) 982-5040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Part of

Coastal Diagnostic Testing Group Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1295468577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711650",
            "telephone_number": "458-803-0999",
            "fax_number": "458-803-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711650",
            "telephone_number": "458-803-0999",
            "fax_number": "458-803-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIAGNOSTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL DIAGNOSTIC TESTING GROUP INC",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "GERAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-982-5040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Healthcare Effectors Management
• Heather Clolinger
• Mary Clyde
• Patrick W Clyde, MD
• Christen Coady
• Coastal Medical LLC
• Cristina Margaret Coffman, MA, QMHP
• Curtis J Cole, PA-C
• Gretchen Cole, LPN WCC
• Jeff R. Cole, PH.D.

• Sleep Disorder Diagnostic Clinic/Center in Roseburg, OR
• Providers in Roseburg, 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 Jul 5, 2022; 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.