COSTAL DIAGNOSTIC SOLUTIONS, LLC (NPI# 1790912913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790912913 |
| Entity Type | Organization |
| Organization Name | COSTAL DIAGNOSTIC SOLUTIONS, LLC |
| Practice Address |
2 Hobcaw Ln Savannah GA 31411-2508 |
| Practice Telephone | 9125984321 |
| Mailing Telephone | 9125984321 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | MR. DAVID LEVASSEUR (PARTNER) |
| Authorized Official Telephone | 9125984321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | NOT REQUIRED | GA | Laboratories |
| Street Address |
2 HOBCAW LN |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31411-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114245529 | Elizabeth Sue Neufeld | Internal Medicine | 1 Castlebrook Retreat, Savannah, GA 31411 | 2010-05-10 |
| 1063745479 | Loy Adam Hagan | Dentist | 5 Planters Lane, Savannah, GA 31411 | 2009-09-16 |
| 1124252226 | Frank Hoffman | Otolaryngology | 6 Boar's Nest Lane, Savannah, GA 31411 | 2009-05-05 |
| 1003903352 | John Joseph Ptacek | Radiology | 61 Hemingway Circle, Savannah, GA 31411 | 2006-10-06 |
| 1104234749 | Jennifer Clifton | Internal Medicine | 95 Skidaway Island Park Rd, Savannah, GA 31411 | 2014-07-28 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1053882555 | Alexus Loper | Occupational Therapist | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2018-12-09 |
| 1285080093 | Righthealth Clinic | Clinic/Center | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2016-05-11 |
| 1588923676 | Catherine J Beltrami | Occupational Therapist | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2012-05-09 |
| 1437485836 | Lisa Landers Clark | Counselor | 1 Waterford Ln, Savannah, GA 31411-1305 | 2009-10-20 |
| Find all providers in zip 31411 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467401984 | Diagnostic Health Corporation | Physiological Laboratory | 6 Wheeler Ct, Savannah, GA 31405-5719 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285193 | Au Health Imaging, LLC | Physiological Laboratory | 3722 Wheeler Rd, Augusta, GA 30909-6638 | 2020-01-31 |
| 1417458233 | Procare Ultrasound | Physiological Laboratory | 4500 Satellite Blvd Ste 2190, Duluth, GA 30096-8850 | 2018-02-27 |
| 1831699222 | Hong Huong Thi Pham | Physiological Laboratory | 1710 Lake Lucerne Rd Sw, Lilburn, GA 30047-4534 | 2018-02-13 |
| 1225537483 | Fairpricemd Inc | Physiological Laboratory | 6175 Hickory Flat Hwy Ste 110-411, Canton, GA 30115-7207 | 2018-02-02 |
| 1861925075 | Nomadx Inc. | Physiological Laboratory | 4 E Washington St, Ste B2-b4, Newnan, GA 30263-1933 | 2017-04-05 |
| 1912375148 | Zywie Inc | Physiological Laboratory | 12000 Findley Rd, Suite 360, Johns Creek, GA 30097-1412 | 2015-09-03 |
| 1518347673 | Arterial Health International LLC | Physiological Laboratory | 3340 Peachtree Road, Ste 1800, Atlanta, GA 30326 | 2015-06-04 |
| 1669888657 | Avilys, LLC | Physiological Laboratory | 2300 Northside Xing, Ste B, Macon, GA 31210-2254 | 2014-07-10 |
| 1700210655 | Neba Health, LLC | Physiological Laboratory | 699 Broad St, Suite 1000, Augusta, GA 30901-1400 | 2013-08-28 |
| 1689919979 | Vocal Imaging, Inc. | Physiological Laboratory | 3006 Butler Creek Rd Nw, Kennesaw, GA 30152-3328 | 2012-11-28 |
| Find all providers with the same taxonomy | ||||
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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.