Coastal County Imaging Services, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

COASTAL COUNTY IMAGING SERVICES, LLC

Practice address

4320 15TH St
Ste B
Gulfport, MS 39501-2524

Phone

(228) 868-2780

Fax

(228) 868-4930

NPI assigned

Aug 19, 2006

Last updated

Feb 15, 2010By 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. Frank Alan Lovell, M.D.

Title

Director

Phone

(228) 868-2780

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Elbey Allman Jr., MD

  • Diagnostic Radiology Physician
  • Gulfport, MS
  • NPI 1528248960
  NPD (past)
• Raun Joseph Wetzel, M.D.

  • Diagnostic Radiology Physician
  • Gulfport, MS
  • NPI 1013179266
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1841304466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 15TH ST",
            "address_2": "STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-868-2780",
            "fax_number": "228-868-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 15TH ST",
            "address_2": "STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-868-2780",
            "fax_number": "228-868-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNTY IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "228-868-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Speech-Language Therapy, LLC
• Coastal Anesthesia Service PA
• Coastal Chronic Pain Services, PLLC
• Coastal Clarity Collective LLC (Coastal Clarity Speech & Communication)
• Coastal Connections Pediatric Therapy LLC
• Coastal Diagnostics PLLC (Coastal Laboratory Services)
• Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC
• Coastal Eye Surgery Center
• Coastal Family Health Center
• Coastal Family Health Center Inc

• Radiology Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Radiology Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.