| NPI | 1407514011 |
|---|---|
| Doing Business As | COASTAL LABORATORY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAKISHA REDMOND Owner 228-609-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |