NPIMap

Organization Active NPI

Coastal Care Corporation

Doing business as Cleveland Clinic Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Stuart, FL
National Provider Identifier
1366469975
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
4102 Issued in FL
Legal business name
COASTAL CARE CORPORATION
Doing business as
Cleveland Clinic Imaging
Martin Health System Diagnostic Services
Practice address
2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone
(772) 223-5767
Fax
(772) 223-5622
NPI assigned
Jul 17, 2006
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 4102 FL Primary

Addresses

Primary practice location

2100 SE Salerno Rd
Stuart, FL 34997-6503

Mailing address

6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131-5062
Phone (216) 636-4969

Other identifiers 1

IdentifierTypeStateIssuer
CA5218OtherFLRR MEDICARE

Other names 2

  • CLEVELAND CLINIC IMAGING Doing business as
  • MARTIN HEALTH SYSTEM DIAGNOSTIC SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116002021 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1456259191 Practice locations: Stuart, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1095 NW Saint Lucie West Blvd
#5
Port Saint Lucie, FL 34986

10000 SW Innovation Way
#104
Port St Lucie, FL 34987
Phone (772) 223-5793

1801 SE Hillmoor Dr
Ste B1
Port St Lucie, FL 34952

2150 SE Salerno Rd
Ste 104
Stuart, FL 34997
Phone (772) 223-4923

2396 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-4959

900 SE Ocean Blvd
Stuart, FL 34994
Phone (772) 219-7575

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1366469975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20 ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062",
            "telephone_number": "216-636-4969",
            "fax_number": "216-636-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976503",
            "telephone_number": "772-223-5767",
            "fax_number": "772-223-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA5218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEVELAND CLINIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARTIN HEALTH SYSTEM DIAGNOSTIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.