Organization Active NPI

Emerald Coast Services, LLC

  • Clinical Medical Laboratory
  • Southfield, MI
National Provider Identifier
1912384645
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EMERALD COAST SERVICES, LLC
Practice address
24525 Southfield Rd
Suite 209
Southfield, MI 48075-2740
Phone
(248) 234-8897
Fax
(888) 392-6043
NPI assigned
May 1, 2015
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Christopher L. Nelson, M.D.NPI 1386639474
Title
Managing Member
Phone
(502) 423-1024

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

24525 Southfield Rd
Suite 209
Southfield, MI 48075-2740

Mailing address

PO Box 6113
Louisville, KY 40206-0113
Phone (502) 423-1024

National Provider Directory

National Provider Directory

Locations

24525 Southfield Rd
Ste 209
Southfield, MI 48075
Phone (248) 234-8897

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1912384645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6113",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060113",
            "telephone_number": "502-423-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24525 SOUTHFIELD RD",
            "address_2": "SUITE 209",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752740",
            "telephone_number": "248-234-8897",
            "fax_number": "888-392-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "502-423-1024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.