Organization
COASTAL RADIOLOGY ASSOCIATES, PLLC
Active
Other names
Coastal Radiology Associates PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
722 NEWMAN RD, NEW BERN, NC 28562-5238
(888) 592-8646
(252) 633-0084
Mailing address
PO BOX 200077, DALLAS, TX 75320-0077
(833) 417-0599
(252) 633-0084
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02851
BCBS OF NC
NC
01
—
153000500
DOL
NC
01
—
760158
MAMSI
NC
05
—
8902851
—
NC
Enumeration date
05/10/2006
Last updated
07/10/2024
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