NPI 1972590552

Coastal Medical INC

Organisation Clinical Medical Laboratory Providence, RI

Practice location

Address: 272 W Exchange St Suite 100, Providence, RI 02903-1061
Phone: (401) 421-5434
Fax: (401) 421-4633
Mailing address: 10 Davol Sq Suite 400, Providence, RI 02903-4754

Authorised official

Name: Meryl Moss
Title: Coo
Phone: (401) 421-4000

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 00412 (RI)

Other Clinical Medical Laboratory providers in Rhode Island →

Registry record

NPI: 1972590552
Entity type: Organization
NPI issued: 29 Sep 2005
Record last updated: 6 Feb 2017

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.