Organization Active NPI

Coast Diagnostics, LLC

  • Clinical Medical Laboratory
  • Mobile, AL
National Provider Identifier
1659755908
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COAST DIAGNOSTICS, LLC
Practice address
4674 Airport Blvd Ste C
Mobile, AL 36608-3124
Phone
(251) 459-8405
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Kathryn Stringfellow
Title
Billing Manager
Phone
(251) 327-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X AL Primary

Addresses

Primary practice location

4674 Airport Blvd Ste C
Mobile, AL 36608-3124

Mailing address

PO Box 8428
Mobile, AL 36689-0428
Phone (251) 459-8405

Other identifiers 1

IdentifierTypeStateIssuer
01D2097767OtherCLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160915000531 AL Part B Supplier - Independent Clinical Laboratory 0648566745 Practice locations: Mobile, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2097767Coast Diagnostics, LLC4674 Airport Blvd, Suite C, Mobile, AL 36608AccreditationMar 22, 2028

National Provider Directory

National Provider Directory

Locations

4674 Airport Blvd
Mobile, AL 36608

4674 Airport Blvd
#C
Mobile, AL 36608
Phone (251) 459-8405

4357 Midmost Dr
Ste B
Mobile, AL 36609
Phone (251) 459-8405

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1659755908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8428",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366890428",
            "telephone_number": "251-459-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 AIRPORT BLVD STE C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083124",
            "telephone_number": "251-459-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "STRINGFELLOW",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "251-327-2125"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "01D2097767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.