Coastal Medical INC
NPI #1972590552 in Providence, Rhode Island
Provider Information
- NPI Number
- 1972590552
- Entity Type
- Organization
- Organization Name
- Coastal Medical INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Feb 6, 2017
Practice Location
- Address
- 272 W EXCHANGE ST
- Address 2
- SUITE 100
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-1061
- Phone
- (401) 421-5434
Authorized Official
- Name
- MERYL MOSS
- Title
- COO
- Phone
- (401) 421-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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