Coastal Diagnostic Imaging, Pllc in Jacksonville - Specialist

Coastal Diagnostic Imaging, Pllc - NPI 1891741377

Coastal Diagnostic Imaging, Pllc is a Specialist in Jacksonville, North Carolina. Coastal Diagnostic Imaging, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Coastal Diagnostic Imaging, Pllc is 1891741377. The last update date is 2020-08-22.

Coastal Diagnostic Imaging, Pllc's current location address is 3606 Henderson Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9109377226. The mailing address for Coastal Diagnostic Imaging, Pllc is 3606 Henderson Dr, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Diagnostic Imaging, Pllc
Address 3606 Henderson Dr, Jacksonville, North Carolina
Phone Number 9109377226
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COO
Authorized Official Name Villa Mike
Telephone Number 7703000101

NPI Number Detail

NPI Number 1891741377
Provider Enumeration Date 2006-05-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3606 Henderson Dr
City Jacksonville
State North Carolina (NC)
Post Code 285465217
Phone Number 9109377226
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Coastal Diagnostic Imaging, Pllc

What is the unique identifier code issued to Coastal Diagnostic Imaging, Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Coastal Diagnostic Imaging, Pllc has been assigned the NPI (National Provider Identifier) 1891741377. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Coastal Diagnostic Imaging, Pllc located?

The Coastal Diagnostic Imaging, Pllc is located at 3606 Henderson Dr, Jacksonville, NC 285465217.

What is the Coastal Diagnostic Imaging, Pllc's area of specialization and corresponding taxonomy classification?

The Coastal Diagnostic Imaging, Pllc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Coastal Diagnostic Imaging, Pllc receive its 1891741377 assignment from the Centers for Medicare & Medicaid Services?

The Coastal Diagnostic Imaging, Pllc was assigned its 1891741377 by the Centers for Medicare & Medicaid Services on 2006-05-26.

When was the information pertaining to Coastal Diagnostic Imaging, Pllc most recently updated or revised?

The details related to Coastal Diagnostic Imaging, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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