NPI 1013324664
Coastal Laboratory LLC
Practice location
- Address
- 1509 Prosperity Farms Rd Suite 101, West Palm Beach, FL 33403-2025
- Phone
- (772) 361-6255
- Mailing address
- 1509 Prosperity Farms Rd STE 101, West Palm Beach, FL 33403-2025
Authorised official
- Name
- Tom Stanley
- Title
- Managing Member
- Phone
- (772) 361-6255
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1013324664
- Entity type
- Organization
- NPI issued
- 15 Jul 2014
- Record last updated
- 14 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.