Costal Diagnostic Solutions, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

NOT REQUIRED Issued in GA

Legal business name

COSTAL DIAGNOSTIC SOLUTIONS, LLC

Practice address

2 Hobcaw LN
Savannah, GA 31411-2508

Phone

(912) 598-4321

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David Levasseur

Title

Partner

Phone

(912) 598-4321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1790912913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOBCAW LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112508",
            "telephone_number": "912-598-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOBCAW LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112508",
            "telephone_number": "912-598-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTAL DIAGNOSTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "LEVASSEUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "912-598-4321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "GA",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Savannah, GA
• Providers in Savannah, GA by specialty
• Physiological Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.