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NPI 1972590552

OrganizationActive

Coastal Medical Inc

NPI 1972590552 · Clinical Medical Laboratory · Providence, RI

Provider details

NPI number: 1972590552
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Authorized official: Meryl Moss, Coo
License: 00412 (RI)

Practice location

272 W Exchange St

Suite 100

Providence, RI 02903-1061

Phone: (401) 421-5434

Fax: (401) 421-4633

More RI providers

Mailing address

10 Davol Sq

Providence, RI 02903-4754

Registry dates

Enumerated: 2005-09-29
Last updated: 2017-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Coastal Medical Inc — NPI 1972590552, Providence, RI | NPI Central