Active NPI
Coastal Care Corporation
- Radiology Clinic/Center
- Stuart, FL
National Provider Identifier
1831168533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 4102
- Legal business name
- COASTAL CARE CORPORATION
- Practice address
- 3801 S Kanner Hwy Ste 102
Stuart, FL 34994-4801 - Phone
- (772) 223-4903
- Fax
- (772) 223-5622
- NPI assigned
- Mar 15, 2006
- 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
- Dennis Laraway
- Title
- Executive VP Chief Finance Officer
- Phone
- (216) 445-1343
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 4102 | FL | Primary |
| Mammography Clinic/Center | 261QR0206X | 4102 | FL |
Addresses
Primary practice location
3801 S Kanner Hwy Ste 102
Stuart, FL 34994-4801
Mailing address
6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131-5062
Phone (216) 636-4969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V2393 | Other | FL | BLUE CROSS |
| CA5218 | Other | FL | RR MEDICARE |
Other names 2
- CLEVELAND CLINIC IMAGING
- MARTIN HEALTH DIAGNOSTIC SERVICES
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 |
|---|---|---|---|
| 10D2182471 | Cleveland Clinic Imaging | Certificate of waiver | Apr 21, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Sheffield Village, OH
- NPI 1942405741
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754611200000",
"number": "1831168533",
"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": "3801 S KANNER HWY STE 102",
"city": "STUART",
"state": "FL",
"postal_code": "349944801",
"telephone_number": "772-223-4903",
"fax_number": "772-223-5622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"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": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "4102",
"primary": true
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "FL",
"license": "4102",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "V2393",
"state": "FL"
},
{
"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 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 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.