Coast Imaging South PLLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

COAST IMAGING SOUTH PLLC

Doing business as

Coast Imaging South PLLC

Practice address

1519 3Rd St SE Ste 103
Puyallup, WA 98372-3742

Phone

(425) 386-3607

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Sandy Clemens

Title

Ao

Phone

(253) 386-3607

Specialties & licenses 1

Addresses

Other names 1

• Coast Imaging South PLLC Doing business as

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1952158925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 112TH STREET CT E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737856",
            "telephone_number": "425-386-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "425-386-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST IMAGING SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "253-386-3607"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Imaging South PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaela Shea Cline, OTR/L
• Deandra Cloy, MSW, LSWAIC
• CMH Group P.C.
• Cmhpod PLLC
• Elizabeth Tanya Coakley
• Coast Spine and Sports Medicine PLLC
• Nicole Dean Cochran, PT
• Enna Alexandra Codekas, M.S.-CF
• Amy Lachelle Coe, P.T.A.
• Kalyn Cofield

• Magnetic Resonance Imaging (MRI) Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.