Organization
COASTAL DIAGNOSTIC LLC
Active
Parent organization
COASTAL DIAGNOSTIC TESTING GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL DIAGNOSTIC TESTING GROUP INC
Authorized official
MR. MEHRDAD GERAMI CRT (OWNER)
(541) 982-5040
Entity
Organization
Contact information
Practice address
2225 NW STEWART PKWY, ROSEBURG, OR 97471-1650
(458) 803-0999
(458) 803-0900
Mailing address
2225 NW STEWART PKWY, ROSEBURG, OR 97471-1650
(458) 803-0999
(458) 803-0900
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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