Organization Active NPI

Ms Coastal Services LLC

  • Sonography Radiologic Technologist
  • Gautier, MS
National Provider Identifier
1902654262
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
MS COASTAL SERVICES LLC
Doing business as
MS Coastal Services LLC
Practice address
4535B Gautier Vancleave Rd
Gautier, MS 39553-4810
Phone
(228) 641-9401
NPI assigned
May 10, 2024
Organization subpart
Yes
Parent organization
MS COASTAL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Mrs. Alicia Gatz, RDMSNPI 1932073830
Title
Owner
Phone
(816) 448-9515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

4535B Gautier Vancleave Rd
Gautier, MS 39553-4810

Mailing address

14805 Burrell Rd
Vancleave, MS 39565-8483
Phone (816) 448-9515

Other names 1

  • MS Coastal Services LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Ms Coastal Services LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1902654262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 BURRELL RD",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395658483",
            "telephone_number": "816-448-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535B GAUTIER VANCLEAVE RD",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534810",
            "telephone_number": "228-641-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS COASTAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MS COASTAL SERVICES LLC",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "GATZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-448-9515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MS Coastal Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.