NPI 1407514011

Coastal Diagnostics PLLC

Organisation Clinical Medical Laboratory Gulfport, MS

Practice location

Address: 12320 Ashley Dr STE D, Gulfport, MS 39503-2550
Phone: (228) 609-9752
Fax: (888) 964-2655

Authorised official

Name: Lakisha Redmond
Title: Owner
Phone: (228) 609-9752

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Mississippi →

Registry record

NPI: 1407514011
Entity type: Organization
NPI issued: 1 Dec 2021
Record last updated: 1 Dec 2021

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.