Organization
COASTAL LABORATORIES, INC.
Active
Organization
COASTAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TORMAY BRITTON-HARR (PRESIDENT & CEO)
(410) 212-9937
Entity
Organization
Contact information
Practice address
4530 E SHEA BLVD STE 165, PHOENIX, AZ 85028-6042
(410) 212-9937
Mailing address
2 COMPROMISE ST, ANNAPOLIS, MD 21401-1819
(410) 212-9937
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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