COASTAL DIAGNOSTIC TESTING GROUP LLC (NPI# 1225352776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225352776 |
| Entity Type | Organization |
| Organization Name | COASTAL DIAGNOSTIC TESTING GROUP LLC |
| Practice Address |
1810 Monroe St. Ste 14 North Bend OR 97459-3447 |
| Practice Telephone | 5417567710 |
| Practice Fax Number | 5417567699 |
| Mailing Telephone | 5413290099 |
| Mailing Fax Number | 5413290063 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | MR. MEHRDAD GERAMI (OWNER) |
| Authorized Official Telephone | 5417567710 |
| Authorized Official Credential | CRTT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
1810 MONROE ST. STE 14 |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881912889 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2010-05-14 |
| 1063890382 | Douglas Medical Equipment Supply | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1578941795 | Douglas Medical Equipment Supply | Clinic/Center | 150 N 7th St, Reedsport, OR 97467-1503 | 2015-05-07 |
| 1205255882 | Sleep Health Now, LLC | Clinic/Center | 14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424 | 2014-04-10 |
| 1578906582 | Somnorem Diagnostics LLC | Clinic/Center | 8130 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1845 | 2013-04-09 |
| 1083991772 | Pacific Sleep & Respiratory Diagnostics, LLC | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2011-11-08 |
| 1740585876 | Northwest Sleep Services, LLC | Clinic/Center | 5060 Sw Philomath Blvd # 166, Corvallis, OR 97333-1044 | 2011-01-20 |
| 1437466612 | Mark T. Gabr, M.d., P.C. | Clinic/Center | 180 Ramsgate Sq. Se, Salem, OR 97302-5867 | 2010-09-09 |
| 1174841183 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 780 2nd St Se Ste 3, Bandon, OR 97411-8354 | 2010-05-14 |
| 1043535685 | Sleep Metric Systems, Inc. | Clinic/Center | 1810 Se 10th Ave Ste B, Portland, OR 97214-3549 | 2010-04-06 |
| 1053587006 | Columbia Sleep Services | Clinic/Center | 10735 Se Stark St, Suite 105, Portland, OR 97216-2765 | 2008-04-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on COASTAL DIAGNOSTIC TESTING GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.