| Coastal Diagnostics Group, Llc | |
|
333 Se 2nd Avenue Suite #2000, Office #2063 Miami FL 33131-2176 | |
| (386) 672-3340 | |
| (866) 279-4704 |
| Full Name | Coastal Diagnostics Group, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 333 Se 2nd Avenue, Miami, Florida |
| Authorized Official Name and Position | Charles Alvarez (CEO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Diagnostics Group, Llc 4545 Fuller Dr Ste 100 Irving TX 75038-6509 Ph: (469) 995-8416 | Coastal Diagnostics Group, Llc 333 Se 2nd Avenue Suite #2000, Office #2063 Miami FL 33131-2176 Ph: (386) 672-3340 |
| NPI Number | 1972841526 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 2567693211 |
|---|---|
| Medicare Enrollment ID | O20140324000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972841526 | NPI | - | NPPES |
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