Organization
COASTAL DIAGNOSTICS PLLC
Active
Other names
Coastal Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA REDMOND PBT (ASCP),RMA, CCMA (OWNER)
(228) 609-9752
Entity
Organization
Contact information
Practice address
12320 ASHLEY DR STE D, GULFPORT, MS 39503-2550
(228) 609-9752
(888) 964-2655
Mailing address
12320 ASHLEY DR STE D, GULFPORT, MS 39503-2550
(228) 609-9752
(888) 964-2655
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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