Active NPI
Coast Diagnostics, LLC
- Clinical Medical Laboratory
- Mobile, AL
National Provider Identifier
1659755908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01D2097767 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160915000531 | AL | Part B Supplier - Independent Clinical Laboratory | 0648566745 | Practice locations: Mobile, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2097767 | Coast Diagnostics, LLC | Accreditation | Mar 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.