COASTAL CAROLINA PATHOLOGY, PA (NPI# 1497724991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497724991 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA PATHOLOGY, PA |
| Practice Address |
2606 Iron Gate Dr Suite 201 Wilmington NC 28412-2573 |
| Mailing Address |
2606 Iron Gate Dr Suite 201 Wilmington NC 28412-2494 |
| Practice Telephone | 9103954441 |
| Practice Fax Number | 9103957074 |
| Mailing Telephone | 9103954441 |
| Mailing Fax Number | 9103957074 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | MRS. KATHRYN J LAIRD (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 9103954441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7001210 | 05 | |
| NC | BCBS | 014KU | 01 |
| RAILROAD MEDICARE | 690009530 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| Street Address |
2606 IRON GATE DR SUITE 201 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083886345 | Skip Tyson Dds & Stephanie Heaney Dds Pa | Dentist | 2606 Iron Gate Dr, Suite 200, Wilmington, NC 28412-2573 | 2008-03-27 |
| 1033380423 | Gregory L. Richardson Dds.ms.pa | Exclusive Provider Organization | 2606 Iron Gate Dr, Suite 101, Wilmington, NC 28412-2573 | 2008-03-13 |
| 1861537664 | Warren C White | Pathology | 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 | 2007-02-20 |
| 1003970534 | Chester J Tyson Iv | Dentist | 2606 Iron Gate Dr, Suite 200, Wilmington, NC 28412-2573 | 2006-12-20 |
| 1467516997 | Stephanie Leigh Freccia | Dentist | 2606 Iron Gate Dr, Suite 200, Wilmington, NC 28412-2573 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1063979615 | Safeguard Dx Laboratory, Inc. | Clinical Medical Laboratory | 110 S Poplar St Ste 200, Wilmington, DE 19801-5034 | 2019-03-01 |
| 1679920573 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 1915 South 17th Street, Suite 100, Wilmington, NC 28401-6683 | 2016-05-20 |
| 1770943391 | The Launch Pad, Inc. | Clinical Medical Laboratory | 3150 Malpass Ave, Wilmington, NC 28403-2625 | 2016-02-24 |
| 1457336844 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2505 Delaney Rd, Wilmington, NC 28403-6003 | 2005-12-08 |
| 1497203293 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1941 Limestone Rd, Suite 109, Wilmington, DE 19808-5408 | 2016-09-21 |
| 1336512615 | New Hanover Regional Medical Center | Clinical Medical Laboratory | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-11-09 |
| 1376958330 | Cape Fear Diagnostics, LLC | Clinical Medical Laboratory | 1501 Medical Center Dr, Wilmington, NC 28401-7506 | 2014-06-27 |
| 1780864280 | Wilmington Pathology Laboratory Inc | Clinical Medical Laboratory | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6683 | 2007-11-13 |
| 1255476883 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1400 Philadelphia Pike, Suite 200, Wilmington, DE 19809-1856 | 2007-02-21 |
| 1003834060 | Quest Diagnostics Clinical Lab Inc. | Clinical Medical Laboratory | 2055 Limestone Rd, Ste 111, Wilmington, DE 19808-5536 | 2006-07-18 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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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.