Organization
COASTAL PROSTHETIC & ORTHOTIC LABORATORY INC
Active
Organization
COASTAL PROSTHETIC & ORTHOTIC LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C VANN CPO (PRESIDENT)
(843) 651-8570
Entity
Organization
Contact information
Practice address
11871 PLAZA DRIVE, SUITE 6, MURRELLS INLET, SC 29576-9351
(843) 651-8570
(843) 651-2461
Mailing address
11871 PLAZA DRIVE, SUITE 6, MURRELLS INLET, SC 29576-9351
(843) 651-8570
(843) 651-2461
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
026218673
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557506
—
SC
Enumeration date
11/03/2005
Last updated
12/28/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up