COASTAL MEDICAL INC (NPI# 1972590552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972590552 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL INC |
| Other Organization Name | COASTAL MEDICAL LAB |
| Practice Address |
272 W Exchange St Suite 100 Providence RI 02903-1061 |
| Mailing Address |
10 Davol Sq Suite 400 Providence RI 02903-4754 |
| Practice Telephone | 4014215434 |
| Practice Fax Number | 4014214633 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4012721456 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | MERYL MOSS (COO) |
| Authorized Official Telephone | 4014214000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 00412 | RI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1972590 | 05 |
| Other Name | Type Code |
|---|---|
| COASTAL MEDICAL LAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863828 | Coastal Medical Inc | Internal Medicine | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2005-10-03 |
| Street Address |
272 W EXCHANGE ST SUITE 100 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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. |
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|---|---|---|---|---|
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| 1174690887 | State of Rhode Island and Providence Plantations | Clinical Medical Laboratory | 50 Orms St, Providence, RI 02904-2222 | 2006-11-29 |
| 1104449891 | Women & Infants Hospital of Rhode Island | Clinical Medical Laboratory | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-28 |
| 1992944078 | Sonotec Imaging Inc. | Clinical Medical Laboratory | 1 Randall Sq, Suite 307, Providence, RI 02904-2709 | 2009-02-12 |
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| 1861404121 | East Side Clinical Laboratory, Inc. | Clinical Medical Laboratory | 10 Risho Avenue, East Providence, RI 02914-1215 | 2006-08-13 |
| 1447278403 | Quest Diagnostics LLC | Clinical Medical Laboratory | 1524 Atwood Ave, Ll1, Johnston, RI 02919-3228 | 2006-07-18 |
| 1912903717 | Dominion Diagnostics LLC | Clinical Medical Laboratory | 211 Circuit Drive, North Kingstown, RI 02852-7440 | 2005-06-27 |
| 1922621614 | Kent County Memorial Hospital | Clinical Medical Laboratory | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-05-28 |
| 1881061919 | Rhode Island Medical Center LLC | Clinical Medical Laboratory | 58 Main St, 201, East Greenwich, RI 02818-3888 | 2015-08-24 |
| 1326438284 | Mmhc | Clinical Medical Laboratory | 1808 Main Rd, Tiverton, RI 02878-4625 | 2015-01-30 |
| 1609114404 | Rhode Island Diagnostic Center, LLC | Clinical Medical Laboratory | 58 Main St, Suite 201, East Greenwich, RI 02818-3888 | 2013-01-29 |
| 1578801650 | Victor Shumilkin | Clinical Medical Laboratory | 58 Main St, Suite 201, East Greenwich, RI 02818-3888 | 2013-01-23 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.