OrganizationActive
Coastal Diagnostics PLLC
NPI 1407514011 · Clinical Medical Laboratory · Gulfport, MS
Provider details
- NPI number
- 1407514011
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lakisha Redmond, Owner(228) 609-9752
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
12320 Ashley Dr Ste D
Gulfport, MS 39503-2550
Phone: (228) 609-9752
Fax: (888) 964-2655
Street-level locationGet directions
Mailing address
12320 Ashley Dr Ste D
Gulfport, MS 39503-2550
Other names (DBA / former)
- Doing business as
- Coastal Laboratory Services
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.