Coastal Lab Partners LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COASTAL LAB PARTNERS LLC

Doing business as

Coastal Lab Partners

Practice address

747 Main St
Suite 112
Concord, MA 01742-3302

Phone

(781) 964-2237

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By 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

Dr. Alexander L Demers, PHD

Title

VP Operations

Phone

(207) 689-6927

Specialties & licenses 1

Addresses

Other names 1

• Coastal Lab Partners Doing business as

Locations

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1386187599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MAIN ST",
            "address_2": "SUITE 112",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302",
            "telephone_number": "781-964-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST",
            "address_2": "SUITE 112",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423302",
            "telephone_number": "781-964-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL LAB PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "207-689-6927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Lab Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lezli Gail Clark, RN
• Cynthia Clarke, LIC. AC.
• Elizabeth Louise Clemens, SOCIAL WORKER
• Sara Beth Clinton
• Mary Coakley-Welch, PHD
• Carolyn Coffin, LICSW
• Cognicounseling
• Alicia Cohen
• Christina Cohen, MSW
• Lisa Colagiovanni

• Clinical Medical Laboratory in Concord, MA
• Providers in Concord, MA by specialty
• Clinical Medical Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.