COASTAL LABORATORIES, INC. (NPI# 1255953790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255953790 |
| Entity Type | Organization |
| Organization Name | COASTAL LABORATORIES, INC. |
| Practice Address |
4530 E Shea Blvd Ste 165 Phoenix AZ 85028-6042 |
| Mailing Address |
2 Compromise St Annapolis MD 21401-1819 |
| Practice Telephone | 4102129937 |
| Mailing Telephone | 4102129937 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | PATRICK TORMAY BRITTON-HARR (PRESIDENT & CEO) |
| Authorized Official Telephone | 4102129937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
4530 E SHEA BLVD STE 165 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154809937 | Volentedx Scottsdale, LLC | Clinical Medical Laboratory | 4530 E Shea Blvd Ste 165, Phoenix, AZ 85028-6042 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706049 | Nexxgen Laboratories | Clinical Medical Laboratory | 20805 N 19th Ave, Phoenix, AZ 85027-3557 | 2019-12-03 |
| 1790244168 | Iron Horse Diagnostics, Inc. | Clinical Medical Laboratory | 124 W Thomas Rd Ste 200, Phoenix, AZ 85013-4416 | 2019-03-15 |
| 1417429077 | Tela Ventures, LLC | Clinical Medical Laboratory | 3608 N 56th St, Phoenix, AZ 85018-4536 | 2018-12-20 |
| 1154809937 | Volentedx Scottsdale, LLC | Clinical Medical Laboratory | 4530 E Shea Blvd Ste 165, Phoenix, AZ 85028-6042 | 2018-08-02 |
| 1376038950 | Dbw Diagnostics, LLC | Clinical Medical Laboratory | 2414 W Sierra St, Phoenix, AZ 85029-3425 | 2018-06-26 |
| 1558851519 | Prorenata Labs LLC | Clinical Medical Laboratory | 8222 S 48th St Ste 210, Phoenix, AZ 85044-5303 | 2018-05-15 |
| 1528561362 | Beacon Biomedical Inc. | Clinical Medical Laboratory | 275 N Gateway Dr Ste 149, Phoenix, AZ 85034-1700 | 2018-03-16 |
| 1518473263 | Cutaneous Neurodiagnostics, LLC | Clinical Medical Laboratory | 5070 N 40th St Ste 125, Phoenix, AZ 85018-2193 | 2017-12-18 |
| 1174044127 | Daniel Fernandez Hernandez | Clinical Medical Laboratory | 5323 W Odeum Ln, Phoenix, AZ 85043-6595 | 2017-06-29 |
| 1104346386 | Greysky Diagnostics LLC | Clinical Medical Laboratory | 906 W Roosevelt St Ste 2, Phoenix, AZ 85007-2106 | 2017-06-20 |
| Find all providers in PHOENIX | ||||
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| 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.