OrganizationActive
Coastal Imaging Inc
NPI 1053583526 · Radiology Clinic/Center · Port Charlotte, FL
Provider details
- NPI number
- 1053583526
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Boucher, Ultrasound Tech(941) 421-2116
- License
- 53741 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20020 Veterans Blvd
Port Charlotte, FL 33954-2112
Phone: (941) 629-9877
Fax: (941) 766-0001
Street-level locationGet directions
Mailing address
26092 Ocelot Ln
Punta Gorda, FL 33983-6131
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2008-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.